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1770086548
MARY MICHAELS STOUT
DECATUR, GA
NPI
1770086548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 88315)
Enumeration Date
2018-03-17
Last Update Date
2021-08-25
Business Address
MARY MICHAELS STOUT MD
158 W PONCE DE LEON AVE
DECATUR, GA 30030-2527
Phone number: 404-251-2200
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Mailing Address
MARY MICHAELS STOUT MD
158 W PONCE DE LEON AVE
DECATUR, GA 30030-2527
Phone number: 404-251-2200
Copy
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