Individual
STEPHEN B ROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1368 SOUTHLAKE PROFESSIONAL PLACE, MORROW, GA 30260
(615) 778-4066
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000750
GA
Other
Enumeration date
03/21/2007
Last updated
11/28/2011
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