Individual
GEORGIANNA AUST WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
Mailing address
4762 BRAXTON GATE LN, HICKORY, NC 28602-9160
(828) 294-0774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103832
NC
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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