MEDICARE: DR. WYCLIFFE LEON WRIGHT M.D.

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	207RI0200X	Infectious Disease Physician	30126	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992881080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WYCLIFFE LEON WRIGHT M.D.

Provider Business Mailing Address
First Line	:	2001 CHARLOTTE AVE
Second Line	:	SUITE 101
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-327-4600
Fax Number	:	615-327-4608

Provider Business Practice Location Address
First Line	:	2001 CHARLOTTE AVE
Second Line	:	SUITE 101
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-327-4600
Fax Number	:	615-327-4608

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	05/14/2013

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