| NPI | 1821325010 |
|---|---|
| Doing Business As | STANLY SURGICAL WEIGHT LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARINDY BOST HARRIS Manager Revenue Cycle 704-983-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2013-07-17 |