# STANLY MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stanly Medical Services-Women Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205818556
- **Authorized official:** MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
- **Authorized official phone:** (704) 983-7320

## Contact information

- **Practice address:** 105 YADKIN ST, STE 102, ALBEMARLE, NC 28001-3449
- **Practice address phone:** (704) 982-1590
- **Practice address fax:** (704) 985-1389
- **Mailing address:** 320 YADKIN ST, STE B, ALBEMARLE, NC 28001-3447
- **Mailing address phone:** (704) 983-7320
- **Mailing address fax:** (704) 983-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 07/17/2013