Individual
DR. TRAVIS ANTHONY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4415 LONGMONT DR, CUMMING, GA 30028-8198
(678) 770-3377
Mailing address
4415 LONGMONT DR, CUMMING, GA 30028-8198
(678) 770-3377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1578
GA
152W00000X
Optometrist
1634
NC
152W00000X
Optometrist
1791
TN
Other
Enumeration date
02/21/2007
Last updated
10/22/2014
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