Healthcare Provider Details

I. General information

NPI: 1346569589
Provider Name (Legal Business Name): ERNEST J WRIGHT III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 08/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 MURPHY AVE STE 3011
NASHVILLE TN
37203
US

IV. Provider business mailing address

350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX AZ
85013-4409
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-9543
  • Fax: 615-341-7583
Mailing address:
  • Phone: 602-406-3538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number56882
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: