Keith D Wright, MD
Dermatology, MOHS-Micrographic Surgery in Snellville, GA. Individual provider (NPI-1).
NPI number1649214537
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1649214537
- Entity type
- Individual (NPI-1)
- Name
- Keith D Wright
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 043822 | GA | Yes |
| 207N00000X | Dermatology | 043822 | GA |
Practice location
2383 Pate StSnellville, GA 30078
Phone 770-972-4845 · Fax 770-972-0358
Mailing address
2383 Pate StSnellville, GA 30078
Phone 770-972-4845 · Fax 770-972-0358
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