Individual
SHERONETTE ANN COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1126 N CHURCH ST STE 101, GREENSBORO, NC 27401-1035
(336) 763-1007
(336) 763-3144
Mailing address
1908 LENDEW ST, GREENSBORO, NC 27408-7007
(336) 273-2835
(336) 273-1948
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9800824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891152Y
—
NC
Enumeration date
12/19/2005
Last updated
07/26/2021
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