Individual
WAYNE DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7120
Mailing address
2721 ENGLISH DR, OCEAN SPRINGS, MS 39564-5408
(228) 235-0776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R854421
MS
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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