Individual
DR. JOHN WALLACE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.,P.C.
Contact information
Practice address
151 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-3415
(478) 452-7342
(478) 452-7342
Mailing address
151 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-3415
(478) 452-7342
(478) 452-7342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000360478A
—
GA
01
—
016-004067
ILLINOIS LICENSE#
IL
01
—
1124171251
ORGANIZATIONAL NPI
GA
01
—
575
GEORGIA LICENSE#
GA
05
—
753297511A
—
GA
01
—
80095
MISSISSIPPI LICENSE#
MS
Enumeration date
06/16/2005
Last updated
03/07/2023
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