Organization
JOY E COUSINS D O CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY E COUSINS DO (PHYSICIAN/OWNER)
(304) 788-2800
Entity
Organization
Contact information
Practice address
1 GRAND CENTRAL PARK, SUITE 2060, KEYSER, WV 26726-3157
(304) 788-2280
Mailing address
1 GRAND CENTRAL PARK, SUITE 2060, KEYSER, WV 26726-3157
(304) 788-2280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1809
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801456000
—
WV
Enumeration date
01/03/2008
Last updated
01/10/2008
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