Individual
JAMES WESLEY COSNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
5040 BILL GARDNER PKWY STE 100, LOCUST GROVE, GA 30248-3758
(678) 583-5437
Mailing address
32 LIVE OAK CT, FORSYTH, GA 31029-8785
(478) 973-1499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN274857
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN274857
GA
Other
Enumeration date
02/15/2022
Last updated
10/10/2023
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