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1235128612
BOBBY GENE STOUT
LAWRENCEVILLE, GA
NPI
1235128612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003770)
Enumeration Date
2005-10-18
Last Update Date
2020-03-04
Business Address
Mr. BOBBY GENE STOUT PA-C
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046-3370
Phone number: 678-312-2700
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Mailing Address
Mr. BOBBY GENE STOUT PA-C
PO BOX 2205
LOGANVILLE, GA 30052-0050
Phone number: 678-614-0900
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