Healthcare Provider Details

I. General information

NPI: 1548268980
Provider Name (Legal Business Name): JAMES H WRIGHT D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 07/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HEALTH CENTER DRIVE
UNION WV
24983
US

IV. Provider business mailing address

PO BOX 25
GREENVILLE WV
24945-0025
US

V. Phone/Fax

Practice location:
  • Phone: 304-772-3064
  • Fax: 304-772-3296
Mailing address:
  • Phone: 304-832-4101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number967
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: