Organization
STANLY MEDICAL SERVICES
Active
Other names
Pfeiffer Health 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
48380 US HWY 52 NORTH, MISENHEIMER, NC 28109-9800
(704) 463-3425
(704) 463-1361
Mailing address
320 YADKIN STREET, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5001114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025K5
BCBS
NC
05
—
5918551
—
NC
Enumeration date
09/01/2011
Last updated
07/17/2013
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