Organization
STANLY MEDICAL SERVICES, INC
Active
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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