Individual
DR. WILLIAM ROBERT ROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
963 BENNOCK MILL DR., AUGUSTA, GA 30906
(352) 538-5899
Mailing address
963 BENNOCK MILL RD, AUGUSTA, GA 30906
(352) 538-5899
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
073476
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
307566
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069706100
—
FL
Enumeration date
06/17/2006
Last updated
04/03/2018
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