Healthcare Provider Details

I. General information

NPI: 1558471680
Provider Name (Legal Business Name): WILLIAM RICHARD WRIGHTSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 DEEP SOUTH FARM RD
BLAIRSVILLE GA
30512-2220
US

IV. Provider business mailing address

35 HOSPITAL RD
BLAIRSVILLE GA
30512-3139
US

V. Phone/Fax

Practice location:
  • Phone: 706-781-6950
  • Fax:
Mailing address:
  • Phone: 706-745-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number97472
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number97472
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: