Individual
DR. GEOFFREY R COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 1ST AVE, SUITE 200, HUNTINGTON, WV 25702-1236
(304) 399-7530
(304) 399-7532
Mailing address
PO BOX 88, 200 POCAHONTAS TRAIL, WHITE SULPHUR SPRINGS, WV 24986-0088
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
WV21957
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001766919
BCBS
WV
05
—
2927622
—
OH
05
—
3810003749
—
WV
Enumeration date
10/07/2005
Last updated
04/20/2022
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