Provider Demographics
NPI:1669671038
Name:WRIGHT, TERRY H (ND)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:H
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4482 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-5205
Mailing Address - Country:US
Mailing Address - Phone:770-966-8561
Mailing Address - Fax:
Practice Address - Street 1:4482 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-5205
Practice Address - Country:US
Practice Address - Phone:770-966-8561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education