| NPI | 1902200769 |
|---|---|
| Doing Business As | STANLY SURGICAL WEIGHT LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS FORD LAYMON SVP 704-631-0002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2016-08-19 |