Organization
OPTIONS DRIVEN
Active
Organization
OPTIONS DRIVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEWIS TAYLOR (CEO/OWNER)
(386) 212-2061
Entity
Organization
Contact information
Practice address
210 BRENT ST, WADESBORO, NC 28170-2804
(386) 212-2061
Mailing address
210 BRENT ST, WADESBORO, NC 28170-2804
(386) 212-2061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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