Organization
STANLY MEDICAL SERVICES, INC
Active
Other names
Stanly Urology 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
1009 N 6TH ST, ALBEMARLE, NC 28001-3551
(704) 982-2800
(704) 982-2830
Mailing address
320 YADKIN ST STE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023KX
BCBS
NC
05
—
5915190
—
NC
Enumeration date
06/30/2010
Last updated
07/17/2013
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