MR. BOBBY STOUT JR., PA-C
Physician Assistant
Active
Individual
NPI: 1235128612
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 003770 (GA) |
Frequently Asked Questions
NPI 1235128612 is the National Provider Identifier for MR. BOBBY STOUT JR., PA-C, a Physician Assistant provider located in Lawrenceville, GA. This NPI was enumerated on October 18, 2005.
MR. BOBBY STOUT JR., PA-C practices at 2200 MEDICAL CENTER BLVD STE 350, Lawrenceville, GA 30046.
Quick Facts
- NPI
- 1235128612
- Type
- Individual
- Enumerated
- Oct 18, 2005
- Last Updated
- Jun 4, 2025
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