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Contact Information

KELLEY M COUSIN, MD
1900 ZEBULON RD
GRIFFIN, GA30224
 Phone: 770-227-5510
 Fax: 770-228-8180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KELLEY M COUSIN · (Female)

NPI # 1841256518
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 033557
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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