Provider Demographics
NPI:1497033583
Name:JOHN COLEMAN WRIGHT, JR. FOUNDATION
Entity Type:Organization
Organization Name:JOHN COLEMAN WRIGHT, JR. FOUNDATION
Other - Org Name:JOCOL
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER/VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:HOVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:678-850-9589
Mailing Address - Street 1:165 SOUTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-1943
Mailing Address - Country:US
Mailing Address - Phone:678-850-9589
Mailing Address - Fax:
Practice Address - Street 1:165 SOUTHFIELD DR
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-1943
Practice Address - Country:US
Practice Address - Phone:678-850-9589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health