Organization
STANLY MEDICAL SERVICES
Active
Other names
Albemarle Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD A MARINO (VP)
(704) 983-8220
Entity
Organization
Contact information
Practice address
929 N 2ND ST, SUITE 201, ALBEMARLE, NC 28001-3363
(704) 983-1805
(704) 982-5985
Mailing address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021V8
BCBS
NC
05
—
5911755
—
NC
Enumeration date
05/06/2009
Last updated
05/23/2012
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