Provider Demographics
NPI:1891068185
Name:WRIGHT, RODNEY (RPSGT)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 SKIPPER CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1014
Mailing Address - Country:US
Mailing Address - Phone:301-412-4142
Mailing Address - Fax:
Practice Address - Street 1:221 SKIPPER CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-1014
Practice Address - Country:US
Practice Address - Phone:301-412-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1225246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic