Paul Edward Stout in Fayetteville - Physician Assistant
Paul Edward Stout - NPI 1679535694
Paul Edward Stout is a Physician Assistant in Fayetteville, North Carolina. Paul Edward Stout practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul Edward Stout is 1679535694. The last update date is 2011-01-06.
Paul Edward Stout's current location address is 2300 Ramsey St, Fayetteville, North Carolina. You can contact this provider via phone number 9108222120 and fax number 9104825284. The mailing address for Paul Edward Stout is 2300 Ramsey St, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Edward Stout |
|---|---|
| Address | 2300 Ramsey St, Fayetteville, North Carolina |
| Phone Number | 9108222120 |
| Fax Number | 9104825284 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1679535694 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2011-01-06 |
Provider Mailing Address Detail
| Address | 2300 Ramsey St |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283013856 |
| Phone Number | 9108222120 |
| Fax Number | 9104825284 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 100139 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100139 | NC | NCMB PA LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Paul Edward Stout by the Centers for Medicare & Medicaid Services?
The Paul Edward Stout has been issued the NPI (National Provider Identifier) 1679535694. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul Edward Stout is physically located?
The Paul Edward Stout is physically situated at the following address: 2300 Ramsey St, Fayetteville, NC, 283013856.
What is Paul Edward Stout's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Edward Stout is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679535694 to Paul Edward Stout?
The Paul Edward Stout received its 1679535694 assignment from the Centers for Medicare & Medicaid Services on 2006-04-05.
When was the information regarding Paul Edward Stout most recently updated?
The details pertaining to the Paul Edward Stout, including its address, specialty, and other relevant information, were last refreshed on 2011-01-06.
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