Provider Demographics
NPI:1659662294
Name:WRIGHT, HOLLY MONROE (MD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:MONROE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9045 FOREST CENTRE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7857
Mailing Address - Country:US
Mailing Address - Phone:901-552-3737
Mailing Address - Fax:731-215-0972
Practice Address - Street 1:9045 FOREST CENTRE DR STE 103
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-7857
Practice Address - Country:US
Practice Address - Phone:901-552-3737
Practice Address - Fax:731-215-0972
Is Sole Proprietor?:No
Enumeration Date:2011-05-01
Last Update Date:2023-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52007207N00000X
FL121270207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology