License holder summary

COUSINS, RANDOLPH PETER is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for COUSINS, RANDOLPH PETER is 1021 TALBOTTON ROAD, Columbus 31904. This doctor license is current. The license was granted 12/06/2004 and expired on 10/31/2016.

Georgia

Composite Medical Board

COUSINS, RANDOLPH PETER
Medical - Physician Assistant
License number
004428
Date granted
12/06/2004
Date expires
10/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
1021 TALBOTTON ROAD
georgiadoctors.net
ID 38097343
LAST UPDATED 2024-03-29 18:32:22 UTC

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