Individual
HALEY MARIE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W MAIN ST, MOUNTAIN CITY, TN 37683-1217
(423) 727-9731
Mailing address
1888 PINE ORCHARD RD, BUTLER, TN 37640-7193
(423) 440-4338
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000192536
TN
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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