Individual
KELLEY M COUSIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 ZEBULON RD, GRIFFIN, GA 30224
(770) 227-5510
(770) 228-8180
Mailing address
1900 ZEBULON RD, GRIFFIN, GA 30224
(770) 227-5510
(770) 228-8180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033557
GA
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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