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Organization

STANLY MEDICAL SERVICES

Active
Other names
Albemarle Surgical Associates
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, SUITE 203, ALBEMARLE, NC 28001-3449
(704) 982-0161
(704) 982-2361
Mailing address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020A2
BCBS
NC
01
2317250D
MCARE
NC
05
5909161
NC
Enumeration date
02/22/2008
Last updated
07/17/2013
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