MEDICARE: MR. IRVING DAVID WIGHT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	100635	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	970023482	OTHER		MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	98462	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1760471221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. IRVING DAVID WIGHT PA-C

Provider Business Mailing Address
First Line	:	6035 FAIRVIEW RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3256
Country	:	US
Telephone Number	:	704-295-3000
Fax Number	:	704-295-3468

Provider Business Practice Location Address
First Line	:	1401 MATTHEWS TOWNSHIP PKWY
Second Line	:	SUITE 101
City	:	MATTHEWS
State	:	NC
Zip	:	28105-5402
Country	:	US
Telephone Number	:	704-295-3550
Fax Number	:	704-295-3556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	12/09/2009

Similar Medicare Providers

1699600635 — TATIANA BROOKS
Practice Location Address:

1401 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC
28105-5402

Practice Phone: 704-264-3500
Practice Fax:

1407854540 — LAURA LEIGH H YOUNCE MD
Practice Location Address:

1401 MATTHEWS TOWNSHIP PKWY STE 212&312
MATTHEWS, NC
28105-5402

Practice Phone: 704-316-3131
Practice Fax: 704-316-3132

1457333551 — JACQUELINE GREENE PA-C
Practice Location Address:

1401 MATTHEWS TOWNSHIP PKWY , SUITE 200
MATTHEWS, NC
28105-5402

Practice Phone: 704-384-6901
Practice Fax: 704-384-6902

1679555775 — DR. GREGORY DAVID MUSA M.D.
Practice Location Address:

1401 MATTHEWS TOWNSHIP PKWY , SUITE 200
MATTHEWS, NC
28105-5402

Practice Phone: 704-384-6901
Practice Fax: 704-384-6902

1881676500 — DR. DAVID PAUL MALONE M.D.
Practice Location Address:

1401 MATTHEWS TOWNSHIP PKWY , SUITE 200
MATTHEWS, NC
28105-5402

Practice Phone: 704-384-6901
Practice Fax: 704-384-6902

1598747388 — DR. NETTIE YVETTE BEVERLY-RUDISEL M.D.
Practice Location Address:

1401 MATTHEWS TOWNSHIP PKWY , SUITE 200
MATTHEWS, NC
28105-5402

Practice Phone: 704-384-6901
Practice Fax: 704-384-6902

Directions to “ MR. IRVING DAVID WIGHT PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.