| Stout Internal Medicine & Wellness | |
|
544 Brawley School Rd Suite C Mooresville NC 28117-9392 | |
| (704) 360-9310 | |
| Not Available |
| Full Name | Stout Internal Medicine & Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 544 Brawley School Rd, Mooresville, North Carolina |
| Authorized Official Name and Position | Skip Smith (CFO) |
| Authorized Official Contact | 7044953162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stout Internal Medicine & Wellness 544 Brawley School Rd Suite C Mooresville NC 28117-9392 Ph: (704) 360-9310 | Stout Internal Medicine & Wellness 544 Brawley School Rd Suite C Mooresville NC 28117-9392 Ph: (704) 360-9310 |
| NPI Number | 1093105942 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093105942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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