Individual
MR. SCOTT ALEXANDER STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
107 GLIDEPATH WAY, LEBANON, TN 37090-4133
(615) 449-5771
(615) 449-5740
Mailing address
107 GLIDEPATH WAY, LEBANON, TN 37090-4133
(615) 449-5771
(615) 449-5740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1324
TN
Other
Enumeration date
10/26/2006
Last updated
12/29/2023
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