Individual
MARSHALL JAMES STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2000
(706) 660-1454
Mailing address
PO BOX 22670, JACKSON, MS 39225-2670
(800) 749-2940
(706) 660-1454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
07363
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119630
—
MS
05
—
09014778
—
MS
Enumeration date
06/12/2006
Last updated
03/10/2010
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