Most Relevant Information
Provider Data
| NPI Number: | 1003276676 |
| Provider Name: | ERIN KOSAK NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 19923 |
Most Important Dates
| Enumeration Date: | 02/25/2016 |
| Last Updated: | 02/25/2016 |
Provider Practice Location
109 WAPPOO CREEK DR
CHARLESTON
SC
294122135
Practice Location Phone/Fax
| Phone: | 8437967171 |
| Fax: | 8437957171 |
Provider Mailing Location
109 WAPPOO CREEK DR
CHARLESTON
SC
294122135
Provider Mailing Phone/Fax
| Phone: | 8437967171 |
| Fax: | 8437957171 |