Provider Demographics
NPI:1164082004
Name:WRIGHT, ASHLEY ALEXANDRA (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ALEXANDRA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 NORTHSIDE BLVD STE 4400
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-8209
Mailing Address - Country:US
Mailing Address - Phone:678-513-8800
Mailing Address - Fax:678-513-8500
Practice Address - Street 1:1505 NORTHSIDE BLVD STE 4400
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-8209
Practice Address - Country:US
Practice Address - Phone:678-513-8800
Practice Address - Fax:678-513-8500
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL82807207Q00000X
GA92243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine