Individual
HERBERT LOUIS COUSIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
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
09/10/2012
Last updated
11/08/2021
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