Search › Georgia › 106S00000X
Willow Cousineau
NPI 1760220412 · on the registry since 2024
Practice
- Address
- 2550 Trade Center Dr Ste G
Evans, GA 30809 - Phone
- (706) 723-8458
- Fax
- (706) 842-5340
- Clinicians at this address
- 52
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia