Stanly Surgical Weight Loss Center | |
923 N 2nd St Suite 205 Albemarle NC 28001-3317 | |
(704) 982-0648 | |
Not Available |
Full Name | Stanly Surgical Weight Loss Center |
---|---|
Speciality | Internal Medicine - Obesity Medicine |
Location | 923 N 2nd St, Albemarle, North Carolina |
Authorized Official Name and Position | Thomas Ford Laymon (SVP) |
Authorized Official Contact | 7046310002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stanly Surgical Weight Loss Center Po Box 601888 Charlotte NC 28260-1888 Ph: (704) 982-0648 | Stanly Surgical Weight Loss Center 923 N 2nd St Suite 205 Albemarle NC 28001-3317 Ph: (704) 982-0648 |
NPI Number | 1902200769 |
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Provider Enumeration Date | 10/22/2014 |
Last Update Date | 08/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902200769 | NPI | - | NPPES |
1902200769 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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