Provider Demographics
NPI:1063572188
Name:WESSON, PATRICIA WRIGHT (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:WRIGHT
Last Name:WESSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:134 WARD RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-9072
Mailing Address - Country:US
Mailing Address - Phone:252-794-1340
Mailing Address - Fax:
Practice Address - Street 1:144 COMMUNITY COLLEGE RD
Practice Address - Street 2:B
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-8047
Practice Address - Country:US
Practice Address - Phone:252-209-8932
Practice Address - Fax:252-332-2483
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC382512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89324OtherBCBS OF NC
NC79544OtherMEDCOST
NC8989324Medicaid
NC8989324Medicaid
NC213778DMedicare PIN
NC213778EMedicare PIN