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Organization
PRIORITY HEALTHCARE SERVICES
Active
Organization
PRIORITY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE CARLTON MOBLEY (CO-OWNER)
(704) 579-0355
Entity
Organization
Contact information
Practice address
4105 EVEREST DR, GASTONIA, NC 28054-0003
(704) 579-0355
Mailing address
4105 EVEREST DR, GASTONIA, NC 28054-0003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251B00000X
SC
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
SC
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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