Healthcare Provider Details

I. General information

NPI: 1497735807
Provider Name (Legal Business Name): BILLIE SUE WRIGHT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 11/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SYCAMORE CREEK DR SUITE C
SPRINGBORO OH
45066-2300
US

IV. Provider business mailing address

5 SYCAMORE CREEK DR SUITE C
SPRINGBORO OH
45066-2300
US

V. Phone/Fax

Practice location:
  • Phone: 937-748-4211
  • Fax: 937-748-3566
Mailing address:
  • Phone: 937-748-4211
  • Fax: 937-748-3566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number007337W
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: