Individual
MARTHA E. COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
481 CONCORD RD, MOHAWK, TN 37810-5612
(423) 823-0517
(423) 235-3080
Mailing address
481 CONCORD RD, MOHAWK, TN 37810-5612
(423) 823-0517
(423) 235-3080
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
14203
TN
Other
Enumeration date
09/08/2009
Last updated
04/09/2013
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