Provider Demographics
NPI:1437358074
Name:WRIGHT, COREY JULIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:COREY
Middle Name:JULIAN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1101 SAM PERRY BLVD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4467
Mailing Address - Country:US
Mailing Address - Phone:540-741-2865
Mailing Address - Fax:540-741-2868
Practice Address - Street 1:1101 SAM PERRY BLVD
Practice Address - Street 2:SUITE 219
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4467
Practice Address - Country:US
Practice Address - Phone:540-741-2865
Practice Address - Fax:540-741-2868
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012566062086S0127X, 208600000X
PAMD448098208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery