Wright, John Wallace
Wright, John Wallace is an sole proprietor health care provider with primary practice located at 151 N Jefferson St Ne , Milledgeville GA 31061-3415. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wright, John Wallace can be contacted via phone (478) 452-7342.Contact Information
Primary practice address
151 N Jefferson St Ne
Milledgeville GA 31061-3415
Phone: (478) 452-7342
Fax: (478) 452-7342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 575 | Georgia |
Profile Details
| NPI number | 1508861493 |
|---|---|
| LBN Legal business name | Wright, John Wallace |
| Credentials | D.P.M.,P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508861493 | NPPES |
| Georgia | MEDICAID | 753297511A | |
| Georgia | Other | 016-004067 | |
| Georgia | Other | 80095 | |
| Georgia | MEDICAID | 000360478A | |
| Georgia | Other | 1124171251 | |
| Georgia | Other | 575 |
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