| Options Driven | |
|
210 Brent St Wadesboro NC 28170-2804 | |
| (386) 212-2061 | |
| Not Available |
| Full Name | Options Driven |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 210 Brent St, Wadesboro, North Carolina |
| Authorized Official Name and Position | Jerry Lewis Taylor (CEO/OWNER) |
| Authorized Official Contact | 3862122061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Options Driven 210 Brent St Wadesboro NC 28170-2804 Ph: (386) 212-2061 | Options Driven 210 Brent St Wadesboro NC 28170-2804 Ph: (386) 212-2061 |
| NPI Number | 1669825220 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669825220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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