NPI 1679372320

Isaac Wright

Practitioner Driver Moncks Corner, SC

Practice location

Address: 725 Regina Ln, Moncks Corner, SC 29461-2747
Phone: (646) 320-0834
Mailing address: PO Box 173455, Hialeah, FL 33017-3455

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence W623-400-61-297-0 (FL)

Other Driver providers in South Carolina →

Registry record

NPI: 1679372320
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2025
Record last updated: 13 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.