Individual
JEFFREY BUNKER STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD19835
TN
207RI0011X
Interventional Cardiology Physician
Primary
19835
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3067323
—
TN
01
—
3125019
BCBS TN
TN
Enumeration date
08/22/2006
Last updated
02/27/2013
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