Individual
MRS. TONIA PAYNE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
540 N MAIN ST, SUITE C, JASPER, GA 30143-1467
(706) 253-7244
(706) 253-7245
Mailing address
215 SHUMAN BLVD, SUITE 401, NAPERVILLE, IL 60563-8458
(630) 303-5380
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
003386
GA
Other
Enumeration date
03/01/2012
Last updated
08/07/2014
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