Provider Demographics
NPI:1801960331
Name:WRIGHT, DAVID K (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9735 KINCEY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9118
Mailing Address - Country:US
Mailing Address - Phone:704-414-2870
Mailing Address - Fax:704-414-2860
Practice Address - Street 1:1780 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1194
Practice Address - Country:US
Practice Address - Phone:803-327-1116
Practice Address - Fax:803-327-6872
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2021-05-27
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Provider Licenses
StateLicense IDTaxonomies
NC98-01120208800000X
SC17390208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC791095WMedicaid
SC173902Medicaid
SC1905787OtherUNITED HEALTHCARE
SC80599OtherMEDCOST
NC136HYOtherBCBS OF NC
SC0004666259OtherAETNA
SC279872OtherMAMSI
SC760700OtherGREAT WEST
NC89063WYMedicaid
SC279872OtherMAMSI
NC89063WYMedicaid
SCG671076566Medicare PIN
NC2257750Medicare PIN
SC340015207Medicare PIN