Healthcare Provider Details

I. General information

NPI: 1417796558
Provider Name (Legal Business Name): THE WRIGHT MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10926 DAVID TAYLOR DR STE 120
CHARLOTTE NC
28262-0039
US

IV. Provider business mailing address

10926 DAVID TAYLOR DR STE 120
CHARLOTTE NC
28262-0039
US

V. Phone/Fax

Practice location:
  • Phone: 980-230-5409
  • Fax:
Mailing address:
  • Phone: 980-230-5409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: CAROL DELANE JONES
Title or Position: CEO
Credential:
Phone: 980-230-5409