Provider Demographics
NPI:1326571670
Name:WRIGHT, JOHN EDMOND (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDMOND
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3701 DAUPHIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1756
Mailing Address - Country:US
Mailing Address - Phone:251-341-3368
Mailing Address - Fax:251-445-7745
Practice Address - Street 1:3701 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1756
Practice Address - Country:US
Practice Address - Phone:251-341-3368
Practice Address - Fax:251-445-7745
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL44007207W00000X
MST-3453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology