Organization
COUSIN SURGICAL SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERB COUSIN CSA (VP)
(762) 235-4343
Entity
Organization
Contact information
Practice address
2537 CEDARCREST RD STE 305-63, ACWORTH, GA 30101-8900
(762) 235-4343
Mailing address
2537 CEDARCREST RD STE 305-63, ACWORTH, GA 30101-8900
(762) 235-4343
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/10/2021
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