Organization
MID-STATE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERA GILMORE (PRESIDENT)
(910) 484-3717
Entity
Organization
Contact information
Practice address
3721 LEGION RD, HOPE MILLS, NC 28348-8411
(910) 484-3717
Mailing address
3721 LEGION RD, HOPE MILLS, NC 28348
(910) 484-3717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302012
—
NC
Enumeration date
09/07/2007
Last updated
09/07/2007
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