| Joy E Cousins D O Co | |
|
1 Grand Central Park Suite 2060 Keyser WV 26726-3157 | |
| (304) 788-2280 | |
| Not Available |
| Full Name | Joy E Cousins D O Co |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Grand Central Park, Keyser, West Virginia |
| Authorized Official Name and Position | Joy E Cousins (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3047882800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy E Cousins D O Co 1 Grand Central Park Suite 2060 Keyser WV 26726-3157 Ph: (304) 788-2280 | Joy E Cousins D O Co 1 Grand Central Park Suite 2060 Keyser WV 26726-3157 Ph: (304) 788-2280 |
| NPI Number | 1326223819 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326223819 | NPI | - | NPPES |
| 1801456000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1809 (West Virginia) | Primary |
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