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Organization

STANLY MEDICAL SERVICES

Active
Other names
Stanly Surgical Weight Loss Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization

Contact information

Practice address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Mailing address
320 YADKIN ST, SUITE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153

Taxonomy

Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023KY
BCBS
NC
05
5913327
NC
Enumeration date
11/09/2009
Last updated
07/17/2013
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