Georgia
Composite Medical Board
PROUT, MATTHEW ERNEST, MD
Medical - Physician
License number
055146
Date granted
07/02/2004
Date expires
01/31/2017
Class
Medical - Physician
Status
Active
Address
20 GLENLAKE PARKWAY
georgiadoctors.net
ID 38074049
LAST UPDATED 2026-04-09 22:22:56 UTC
LAST UPDATED 2026-04-09 22:22:56 UTC
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