MANDY STOUT, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1578619219
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 003919 (GA) |
Frequently Asked Questions
NPI 1578619219 is the National Provider Identifier for MANDY STOUT, PA-C, a Physician Assistant - Medical provider located in Snellville, GA. This NPI was enumerated on January 26, 2007.
MANDY STOUT, PA-C practices at 1700 TREE LN, SUITE 170, Snellville, GA 30078.
Quick Facts
- NPI
- 1578619219
- Type
- Individual
- Enumerated
- Jan 26, 2007
- Last Updated
- Mar 21, 2008
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