Provider Demographics
NPI:1750867750
Name:WRIGHT, STUART (ATC)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PALISADES CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3674
Mailing Address - Country:US
Mailing Address - Phone:202-768-6706
Mailing Address - Fax:
Practice Address - Street 1:10616 METROMONT PKWY STE 106
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7657
Practice Address - Country:US
Practice Address - Phone:704-212-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer