Stout, Robert M

Stout, Robert M is an individual health care provider with primary practice located at 1602 Vernon Rd Ste 400, Lagrange GA 30240-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stout, Robert M can be contacted via phone (706) 882-9341.

Contact Information

Primary practice address
1602 Vernon Rd Ste 400 Lagrange GA 30240-4100
Fax: (706) 884-0131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 025835 Georgia

Profile Details

NPI number 1427050632
LBN Legal business name Stout, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427050632 NPPES
Georgia MEDICAID 00280178C

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