Individual
JOHN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 550-2801
Mailing address
1053 GREENLAND CIR, SOUTH CHARLESTON, WV 25309-1703
(304) 550-2801
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00421
WV
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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