Provider Demographics
NPI:1346569589
Name:WRIGHT, ERNEST J III (MD)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:J
Last Name:WRIGHT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:350 W THOMAS RD
Mailing Address - Street 2:ATTN: ACADEMIC AFFAIRS
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4409
Mailing Address - Country:US
Mailing Address - Phone:602-406-3538
Mailing Address - Fax:
Practice Address - Street 1:2011 MURPHY AVE STE 3011
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-327-9543
Practice Address - Fax:615-341-7583
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2018-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN56882207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ037458Medicaid
TNINPROCESSOtherTN MEDICARE