Individual
MARIBETH COWSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1825 GA-34, NEWNAN, GA 30265
(770) 502-2121
Mailing address
8340 HIGHWAY 54, SHARPSBURG, GA 30277-2109
(219) 863-6772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9211
GA
Other
Enumeration date
07/23/2018
Last updated
01/06/2022
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