Individual
GARY DOUGLAS STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
740 FERST DR NW, ATLANTA, GA 30332-0001
(470) 846-8160
Mailing address
740 FERST DR NW, ATLANTA, GA 30332-0001
(470) 846-8160
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN183285
GA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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