Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO04399 | NC |
N | 222Z00000X | Podiatrist | CPO04399 | NC |
Y | 224P00000X | Prosthetist | CPO04399 | NC |
NPI | 1275163347 |
---|---|
Provider Name | David Benjamin Wright |
First Address | Raleigh, NC 27609-7445 |
Second Address | Raleigh, NC 27609-7445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2020 |
Last Update Date | 17/01/2020 |