| Wright And Associates Medical Logistics Llc | |
|
1403 43rd Ave Gulfport MS 39501-2545 | |
| (256) 581-5708 | |
| (586) 204-0601 |
| Full Name | Wright And Associates Medical Logistics Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1403 43rd Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Nakia Renee Littlejohn (OWNER) |
| Authorized Official Contact | 2563433704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wright And Associates Medical Logistics Llc Po Box 63 Saint Elmo AL 36568-0063 Ph: (256) 581-5708 | Wright And Associates Medical Logistics Llc 1403 43rd Ave Gulfport MS 39501-2545 Ph: (256) 581-5708 |
| NPI Number | 1477180958 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Medicare PECOS PAC ID | 7618201419 |
|---|---|
| Medicare Enrollment ID | O20200331001557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477180958 | NPI | - | NPPES |
| Provider Name | Nakia Littlejohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043521842 PECOS PAC ID: 5496972093 Enrollment ID: I20200331001632 |
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