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Organization

STANLY MEDICAL SERVICES

Active
Other names
Stanly Pediatric 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
105 YADKIN ST, STE 303, ALBEMARLE, NC 28001-3449
(704) 982-2683
(704) 982-2744
Mailing address
320 YADKIN ST, STE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0112Q
BCBS
NC
05
890112Q
NC
Enumeration date
11/14/2005
Last updated
07/17/2013
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