Search › Georgia › 363A00000X
Bobby Stout, PA-C
NPI 1235128612 · on the registry since 2005
Practice
- Address
- 2200 Medical Center Blvd Ste 350
Lawrenceville, GA 30046 - Phone
- (678) 312-2700
- Fax
- (678) 312-2730
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia