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General NPI Number Information
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NPI Number | 1124330345
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Entity Type | Individual
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Provider Name | SAMUEL BENJAMIN WRIGHT D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1133 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5085
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Country | US
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Telephone | 678-604-1000
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Fax | 770-389-2133
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Provider Business Mailing Address
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Address Line | 350 W CEDAR ST STE 301
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City | PENSACOLA
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State | FL
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Zip | 32502-4911
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Country | US
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Telephone | 801-318-6048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 87000
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | CL0796
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.011360
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License Number State | OH
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