Individual
CORNELIUS ANTONIO WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 MOCKINGBIRD LOOP, DILLON, SC 29536-8044
(910) 610-8705
(888) 919-1981
Mailing address
2141 MOCKINGBIRD LOOP, DILLON, SC 29536-8044
(910) 610-8705
(888) 919-1981
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
SC
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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