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Stanly Medical Services

Organization Active NPI Pediatrics Physician · Albemarle, NC

NPI 1437130754 · NPPES record last updated Jul 17, 2013

Key facts

NPI
1437130754
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
STANLY MEDICAL SERVICES
Practice address
105 Yadkin St
Ste 303
Albemarle, NC 28001-3449
Phone
(704) 982-2683
Fax
(704) 982-2744
NPI assigned
Nov 14, 2005
Organization subpart
No

Authorized official

Name
Marindy Bost Harris
Title
Manager Revenue Cycle
Phone
(704) 983-7320

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Stanly Medical Services (5 organizations share this tax ID)

Locations

320 Yadkin St
Ste B
Albemarle, NC 28001
Phone (704) 983-7320

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

2101 Shiloh Church Rd
Ste 101
Davidson, NC 28036
Phone (704) 403-7740

332 N Trade St
Matthews, NC 28105
Phone (704) 302-8500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

105 Yadkin St
Ste 303
Albemarle, NC 28001-3449

Mailing address

320 Yadkin St
Ste B
Albemarle, NC 28001-3447
Phone (704) 983-7320

Other identifiers

IdentifierTypeStateIssuer
0112QOtherNCBCBS
890112QMedicaidNC

Other names

  • Stanly Pediatric Services Doing business as

Other providers in Albemarle, NC

All providers in Albemarle, NC · Pediatrics Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.