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Individual
STANLEY GILL MINOR
Active
Individual
STANLEY GILL MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27828
NC
208D00000X
General Practice Physician
27828
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28859
UNITED HEALTHCARE
NC
01
—
59526
BCBS
NC
01
—
930040270
RAILROAD MEDICARE
NC
01
—
B4548
MEDCOST
NC
Enumeration date
06/14/2005
Last updated
11/16/2009
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