Organization
SOUTH COUNTY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE E STOUT FNP-BC (FAMILY PRACTICE)
(401) 788-1430
Entity
Organization
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1430
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1430
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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