Individual
DR. SCOTT COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2005-01135
NC
207W00000X
Ophthalmology Physician
Primary
2005-01135
NC
Other
Enumeration date
05/28/2006
Last updated
11/05/2008
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