Provider Demographics
NPI:1568222735
Name:BARIGHT SURGERY PLLC
Entity Type:Organization
Organization Name:BARIGHT SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:608-475-3954
Mailing Address - Street 1:5801 BRUSHY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY-VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5504
Mailing Address - Country:US
Mailing Address - Phone:608-475-3954
Mailing Address - Fax:
Practice Address - Street 1:3335 S CRATER RD STE 700
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9396
Practice Address - Country:US
Practice Address - Phone:804-765-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery