Organization
STANLY MEDICAL SERVICES
Active
Other names
Albemarle Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization
Contact information
Practice address
105 YADKIN ST, STE 101, ALBEMARLE, NC 28001
(704) 983-5195
(704) 982-2665
Mailing address
320 YADKIN ST, STE B, ALBEMARLE, NC 28001
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790200F
—
NC
Enumeration date
11/11/2005
Last updated
07/17/2013
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