Individual
JULIE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
609 WISTERIA ST, PANAMA CITY BEACH, FL 32407-3129
(850) 238-9613
Mailing address
609 WISTERIA ST, PANAMA CITY BEACH, FL 32407-3129
(850) 238-9613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA31243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C9164
BCBS PROVIDER NUMBER
FL
Enumeration date
03/13/2009
Last updated
03/13/2009
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