Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BOBBY GENE STOUT JR., PA-C
ActiveMR. BOBBY GENE STOUT JR., PA-C is a Physician Assistant healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1235128612 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1235128612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.788719422971 yrs)
- Last Updated
- Jun 4, 2025
- License
-
003770 (GA)
Practice Information
- Address
-
2200 MEDICAL CENTER BLVD STE 350LAWRENCEVILLE, GA, 300467768Browse GA providers · Browse ZIP 30046
- Phone
- 6783122700
- Fax
- 6783122730
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| RUTHANN PHILLIPS | PA-C | 1649277591 |
| DIANA K DEAN | P.A. | 1598765950 |
| JOSEPH P LIEBSACK | P.A.-C | 1528048196 |
| PATRICIA A HAGERMAN | PA | 1346216249 |
| ALLISON NICOLE ANDERSON | P.A-C | 1639124233 |
| MR. JERRY U. MERCEDAT | PA-C | 1750320685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.