Organization
STANLY MEDICAL SERVICES
Active
Other names
Stanly Gastroenterology and Digestive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization
Contact information
Practice address
923 N 2ND ST, SUITE 204, ALBEMARLE, NC 28001-3317
(704) 986-6662
(704) 986-6663
Mailing address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024P4
BCBS
NC
05
—
5917199
—
NC
Enumeration date
04/06/2011
Last updated
07/17/2013
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