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Herbert Louis Cousin JR., CSA
Surgical Physician Assistant in Acworth, Georgia
NPI 1720337439

Herbert Louis Cousin JR. is a Surgical Physician Assistant based in Acworth, GA and is specialized in Surgical. Herbert Louis Cousin JR. practices in Acworth, GA and has the professional credentials of CSA. The NPI Number for Herbert Louis Cousin JR. is 1720337439 and holds a License No. (Georgia).

The current practice location address for Herbert Louis Cousin JR. is 2537 Cedarcrest Rd Ste 305-63, Acworth, GA and can be reached out via phone at 762-235-4343.

Location: 2537 Cedarcrest Rd Ste 305-63, Acworth, GA, 30101-8900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720337439
Provider Name
Herbert Louis Cousin JR.
Credential
CSA
Provider Entity Type
Individual
Gender
Male
Address
2537 Cedarcrest Rd Ste 305-63, Acworth, GA, 30101-8900
Phone Number
762-235-4343
Fax Number
Provider Enumeration Date
09/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2537 Cedarcrest Rd Ste 305-63
City
Acworth
State
Georgia
Zip
30101-8900
Phone Number
762-235-4343
Fax Number
person
Provider Business Mailing Address Details
Address
2537 Cedarcrest Rd Ste 305-63
City
Acworth
State
Georgia
Zip
30101-8900
Phone Number
762-235-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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