| Stout Internal Medicine | |
|
653 Bluefield Rd Ste I Mooresville NC 28117-9599 | |
| (704) 360-9310 | |
| (704) 360-9326 |
| Full Name | Stout Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 653 Bluefield Rd Ste I, Mooresville, North Carolina |
| Authorized Official Name and Position | Joanie M Cochran (CREDENTIALING) |
| Authorized Official Contact | 3363069755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stout Internal Medicine Po Box 896199 Charlotte NC 28289-6199 Ph: (844) 652-0611 | Stout Internal Medicine 653 Bluefield Rd Ste I Mooresville NC 28117-9599 Ph: (704) 360-9310 |
| NPI Number | 1750085536 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750085536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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