Stout, Mandy C
Stout, Mandy C is an individual health care provider with primary practice located at 1700 Tree Ln Suite 170, Snellville GA 30078-6782. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Stout, Mandy C can be contacted via phone (770) 962-0399.Contact Information
Primary practice address
1700 Tree Ln Suite 170
Snellville GA 30078-6782
Phone: (770) 962-0399
Fax: (678) 252-3722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003919 | Georgia |
Profile Details
| NPI number | 1578619219 |
|---|---|
| LBN Legal business name | Stout, Mandy C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 21st, 2008 - about 18 years 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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