Individual
STANLEY BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 PROSPERITY CHURCH RD, SUITE 187, CHARLOTTE, NC 28269-7197
(704) 813-7652
Mailing address
3020 PROSPERITY CHURCH RD, CHARLOTTE, NC 28269-7197
(704) 813-7652
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
103263501
SC
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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