Provider Demographics
NPI:1578213468
Name:WRIGHT, ALEXANDRA VINITY (DC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:VINITY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MARINA COVE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:SC
Mailing Address - Zip Code:29054-8415
Mailing Address - Country:US
Mailing Address - Phone:864-490-1451
Mailing Address - Fax:
Practice Address - Street 1:1112 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-3445
Practice Address - Country:US
Practice Address - Phone:803-597-5099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC.4793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor