Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2007-01045 | NC |
Y | 111NI0900X | Internist | 2007-01045 | NC |
N | 207RG0300X | Geriatric Medicine | 2007-01045 | NC |
NPI | 1023211489 |
---|---|
Provider Name | Ms. Virginia Fredericka Wright |
First Address | Charlotte, NC 28260-1076 |
Second Address | Morganton, NC 28655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 06/11/2019 |