Provider Demographics
NPI:1336919349
Name:WRIGHT, DENZEL RAY (PA-C)
Entity Type:Individual
Prefix:
First Name:DENZEL
Middle Name:RAY
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PA-C
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1657 TUCSON ROW
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-4944
Mailing Address - Country:US
Mailing Address - Phone:404-831-7856
Mailing Address - Fax:
Practice Address - Street 1:1657 TUCSON ROW
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-4944
Practice Address - Country:US
Practice Address - Phone:404-831-7856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical