person
Randolph P Cousins, PA
Medical Physician Assistant in Columbus, Georgia
NPI 1730260019

Randolph P Cousins is a Medical Physician Assistant based in Columbus, GA and is specialized in Medical. Randolph P Cousins practices in Columbus, GA and has the professional credentials of PA. The NPI Number for Randolph P Cousins is 1730260019 and holds a License No. 004428 (Georgia).

The current practice location address for Randolph P Cousins is 7301 Blackmon Rd, Columbus, GA and can be reached out via phone at 706-568-2700 and via fax at 706-568-2705.

Location: 7301 Blackmon Rd, Columbus, GA, 31909-4478
person
Provider Profile Details
NPI Number
1730260019
Provider Name
Randolph P Cousins
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
7301 Blackmon Rd, Columbus, GA, 31909-4478
Phone Number
706-568-2700
Fax Number
706-568-2705
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004428 01 GA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7301 Blackmon Rd
City
State
Zip
31909-4478
Phone Number
706-568-2700
Fax Number
706-568-2705
person
Provider Business Mailing Address Details
Address
7301 Blackmon Rd
City
State
Zip
31909-4478
Phone Number
706-568-2700
Fax Number
706-568-2705
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004428 (Georgia)
Definition
Definition to come...
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