Individual
BILLIE SALINA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
330 MIMS RD, SYLVANIA, GA 30467-1904
(912) 451-5887
Mailing address
330 MIMS RD, SYLVANIA, GA 30467-1904
(912) 451-5887
(478) 237-9138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN155792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003188494
—
GA
Enumeration date
04/03/2017
Last updated
10/28/2025
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