Provider Demographics
NPI:1821018201
Name:WRIGHT, WENDY (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:WRIGHT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1365 CLIFTON RD NE
Mailing Address - Street 2:SUITE B6100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-3752
Mailing Address - Fax:404-778-4472
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:SUITE B6100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-3752
Practice Address - Fax:404-778-4472
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0563852084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI08014Medicare UPIN