Provider Demographics
NPI:1881721405
Name:WRIGHT, DOROTHY W (DC)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:W
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 ANTEBELLUM WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-4057
Mailing Address - Country:US
Mailing Address - Phone:770-603-9037
Mailing Address - Fax:
Practice Address - Street 1:2705 CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3209
Practice Address - Country:US
Practice Address - Phone:770-617-7096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO05116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor