| NPI | 1750085536 |
|---|---|
| Doing Business As | STOUT INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOANIE M COCHRAN Credentialing 336-306-9755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-29 |