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Individual

FORREST HOLT WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2751 ALBERT L BICKNELL DR, SUITE 5A, SHREVEPORT, LA 71103-3920
(318) 635-5019
(318) 226-1759
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 5A, SHREVEPORT, LA 71103-3920
(318) 635-5019
(318) 226-1759

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
016390
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1354562
LA
Enumeration date
09/29/2006
Last updated
09/02/2014
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