Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 15866 | NC |
NPI | 1023085131 |
---|---|
Provider Name | Elizabeth Ann Wright |
First Address | Statesville, NC 28625-1949 |
Second Address | Statesville, NC 28625-1949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 15/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8988331 | (05) | NC |
C81886 | (02) | NC |