DIANE H COUSINS

WEST POINT, GA
NPI1245343896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN106393)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AL  1-067853)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- DIANE H COUSINS APRN
1610 10TH ST CLARK-HOLDER CLINIC, P.A.
WEST POINT, GA 31833
Phone number: 706-645-2300
Mailing Address
-- DIANE H COUSINS APRN
2733 FOREST RD
GREENVILLE, GA 30222-2260
Phone number:
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