Provider Demographics
NPI:1427194588
Name:WRIGHT, AMANDA S (DC)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5602
Mailing Address - Country:US
Mailing Address - Phone:336-570-2447
Mailing Address - Fax:336-570-9307
Practice Address - Street 1:1624 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5602
Practice Address - Country:US
Practice Address - Phone:336-570-2447
Practice Address - Fax:336-570-9307
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor