Doctor Name: | MRS. SANTREDRA F WRIGHT |
NPI Number: | 1346432895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | RN164919 |
Business Practice Address: | 2799 Davis Mill Rd Hephzibah, GA - 308156904 |
Business Phone Number: | 7067725061 |
Business Fax Number: | |
Mailing Address: | 2799 Davis Mill Road, HEPHZIBAH |
State: | GA |
Postal Code: | 30815 |
Phone Number: | 7067725061 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 08/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | RN164919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |