Organization
THE COUSIN FAMILY LLC
Active
Other names
The Cousin Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT LOUIS COUSIN JR. CSA (OWNER)
(770) 875-1243
Entity
Organization
Contact information
Practice address
2847 VETERANS MEMORIAL HWY SW UNIT 888, AUSTELL, GA 30168-1108
(770) 875-1243
Mailing address
2847 VETERANS MEMORIAL HWY SW UNIT 888, AUSTELL, GA 30168-1108
(770) 875-1243
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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