Provider Demographics
NPI:1053390781
Name:WRIGHT, JAMES C (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2918 LOUIS SESSIONS STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71653
Mailing Address - Country:US
Mailing Address - Phone:870-265-5343
Mailing Address - Fax:870-265-5686
Practice Address - Street 1:2918 LOUIS SESSIONS STREET
Practice Address - Street 2:
Practice Address - City:LAKE VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71653
Practice Address - Country:US
Practice Address - Phone:870-265-5343
Practice Address - Fax:870-265-5686
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2024-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARR4101207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118692Medicaid
AR133753003Medicaid
MS080003547Medicare PIN
ARE67040Medicare UPIN
AR133753003Medicaid