COUSIN SURGICAL SERVICES L.L.C. NPI 1497410104

NPI Information

NPI: 1497410104
Provider Name: COUSIN SURGICAL SERVICES, L.L.C.
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2537 CEDARCREST RD STE 305-63
ACWORTH, GA
ZIP 30101
Phone: (762) 235-4343
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COUSIN SURGICAL SERVICES, L.L.C. is a surgical physician assistant in Acworth, GA. COUSIN SURGICAL SERVICES, L.L.C. NPI is 1497410104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2537 CEDARCREST RD STE 305-63
ACWORTH, GA
ZIP 30101-900
Phone: (762) 235-4343

The provider's authorized official is Herb Cousin .
The authorized official title is Vp and has the following contact phone number (762) 235-4343.

The enumeration date for this NPI number is 11/8/2021 and was last updated on 11/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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