Individual
GREGORY ALAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10650 PARK RD, CHARLOTTE, NC 28210-8538
(704) 667-3840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2016-02025
NC
2086S0129X
Vascular Surgery Physician
2016-02025
NC
Other
Enumeration date
07/18/2007
Last updated
07/22/2024
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