How does Holmes assume that Dr. Mortimer is a country practitioner?

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It is actually Dr. Watson that first states that Dr. Mortimer is a country doctor.

In the first chapter, Dr. Watson arrives at Sherlock Holmes's house, picks up Dr. Mortimer's walking stick, and takes it to the window to look at it in the light. At this point, Holmes asks him what he concludes about the previous day's visitor from the stick he left behind. Watson, trying his best to use Holmes's technique of deduction, tells him that he thinks Mortimer must be well thought...

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