Provider Demographics
NPI:1407842305
Name:WRIGHT, JOSEPH C (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E COVE RD
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:TN
Mailing Address - Zip Code:38574-7007
Mailing Address - Country:US
Mailing Address - Phone:931-200-1139
Mailing Address - Fax:931-484-6062
Practice Address - Street 1:1725 MEDICAL CENTER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2250
Practice Address - Country:US
Practice Address - Phone:615-893-4100
Practice Address - Fax:615-893-2166
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA1177208M00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3662881Medicare ID - Type Unspecified
TNQ28901Medicare UPIN