Individual
MATTHEW ERNEST PROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 GLENLAKE PKWY, KP GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328-3473
(770) 677-6217
(770) 677-7317
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
055146
GA
Other
Enumeration date
07/17/2006
Last updated
01/13/2022
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