Healthcare Provider Details

I. General information

NPI: 1770057788
Provider Name (Legal Business Name): BRIAN DANIEL WRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 FOUNTAIN DR STE 200
SNELLVILLE GA
30078-2925
US

IV. Provider business mailing address

2160 FOUNTAIN DR STE 200
SNELLVILLE GA
30078-2925
US

V. Phone/Fax

Practice location:
  • Phone: 770-982-2320
  • Fax: 404-868-4957
Mailing address:
  • Phone: 770-982-2320
  • Fax: 404-868-4957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number88562
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: