Individual
KATIE OLSON WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(404) 441-2176
Mailing address
417 BROOKSIDE DR, AUGUSTA, GA 30904-4597
(404) 441-2176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN220513
GA
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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