Organization
LAMAR COUSINS, MD D/B/A COUSIN & CANTRELL INTERNAL MEDICINE
Active
Organization
LAMAR COUSINS, MD D/B/A COUSIN & CANTRELL INTERNAL MEDICINE
Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Other names
WellStar Cousins and Cantrell, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
166 VANN ST NE, MARIETTA, GA 30060-7250
(770) 422-7377
(770) 421-1304
Mailing address
166 VANN ST NE, MARIETTA, GA 30060-7250
(770) 422-7377
(770) 421-1304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/14/2008
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