| NPI | 1093105942 |
|---|---|
| Doing Business As | STOUT INTERNAL MEDICINE & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SKIP SMITH CFO 704-495-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |