Individual
DANIEL ALEXANDER WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4929
Mailing address
1120 15TH STREET, SUITE OR-6000, AUGSUTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN261769
GA
Other
Enumeration date
12/22/2021
Last updated
03/17/2022
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