Organization
MID STATE HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERA GILMORE (DIRECTOR)
(910) 484-3717
Entity
Organization
Contact information
Practice address
2908 REYNOLDA RD, WINSTON SALEM, NC 27106-3016
(336) 733-6486
Mailing address
3721 LEGION RD, HOPE MILLS, NC 28348-8411
(910) 484-3717
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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