Stephen B Routt, PA-C Valid NPI
Individual provider · Physician Assistant · Morrow, GA
- NPI
- 1912023953
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 000750 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-21
- Last updated
- 2011-11-28
Practice location
1368 Southlake Professional Place
Morrow, GA 30260
(615) 778-4066