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Organization
STANLY MEDICAL SERVICES
Active
Organization
STANLY MEDICAL SERVICES
Active
Other names
Troy Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization
Contact information
Practice address
835 ALBEMARLE RD, TROY, NC 27371-8682
(910) 572-2309
(910) 572-3655
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
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0276A
BCBS
NC
05
—
890276A
—
NC
Enumeration date
11/07/2005
Last updated
07/17/2013
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