Healthcare Provider Details

I. General information

NPI: 1063925931
Provider Name (Legal Business Name): MS. SOLOMIYA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2017
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 S 8TH ST
GRIFFIN GA
30224-4214
US

IV. Provider business mailing address

1101 BRICKELL AVE STE N1700
MIAMI FL
33131-3105
US

V. Phone/Fax

Practice location:
  • Phone: 770-229-6666
  • Fax:
Mailing address:
  • Phone: 786-563-4010
  • Fax: 888-366-4023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADS000976
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: