Mandy Stout, PA-C

NPI 1578619219 · on the registry since 2007

Practice

Address: 1700 Tree Ln
Suite 170
Snellville, GA 30078
Phone: (770) 962-0399
Fax: (678) 252-3722
Organisation at this address: Walgreen Co
Orthoatlanta, Llc
Georgia Urology Pa
Grayson Family Care
Nephron Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 52

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-03-21

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