Organization
CENTRAL STATE OF THE CAROLINAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE A HATFIELD (EXEC. FINANCE OFFICER)
(989) 631-5754
Entity
Organization
Contact information
Practice address
122 N ELM ST, SUITE 810, GREENSBORO, NC 27401-2878
(336) 370-1691
(336) 370-4758
Mailing address
122 N ELM ST, SUITE 810, GREENSBORO, NC 27401-2878
(336) 370-1691
(336) 370-4758
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8702059
—
NC
Enumeration date
11/04/2010
Last updated
01/19/2011
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