Individual
ELMER HANCOCK STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
(704) 799-2613
Mailing address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
(704) 799-2613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23978
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898018
—
NC
Enumeration date
01/13/2006
Last updated
04/09/2014
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