Provider Demographics
NPI:1629478532
Name:WRIGHT, JOSEPH JR
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WILLIAMS ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2483
Mailing Address - Country:US
Mailing Address - Phone:803-370-5721
Mailing Address - Fax:888-814-9656
Practice Address - Street 1:114 WILLIAMS ST
Practice Address - Street 2:SUITE 108
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2483
Practice Address - Country:US
Practice Address - Phone:803-370-5721
Practice Address - Fax:888-814-9656
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator