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Organization
STANLY MEDICAL SERVICES, INC.
Active
Organization
STANLY MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINDY B HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization
Contact information
Practice address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Mailing address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
NC
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2317250D
MEDICARE
NC
05
—
5914519
—
NC
Enumeration date
03/24/2008
Last updated
07/17/2013
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