NPI 1093988545

Geoffrey R. Cousins, MD, PLLC

Organisation Specialist Charleston, WV

Practice location

Address: 2345 Chesterfield Ave Suite 304, Charleston, WV 25304-1062
Phone: (304) 720-2244
Fax: (304) 720-2245
Mailing address: PO Box 4695, Charleston, WV 25364-4695

Authorised official

Name: Geoffrey R Cousins
Title: Owner
Phone: (304) 720-2244

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 21957 (WV)

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Registry record

NPI: 1093988545
Entity type: Organization
NPI issued: 4 Apr 2008
Record last updated: 2 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.