Individual
DR. EDWARD A. KOTZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
933 SAINT ANDREWS BLVD., CHARLESTON, SC 29407
(843) 766-9868
(843) 571-4925
Mailing address
933 SAINT ANDREWS BLVD., CHARLESTON, SC 29407
(843) 766-9868
(843) 571-4925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24039
SC
207N00000X
Dermatology Physician
Primary
24039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240395
—
SC
Enumeration date
02/01/2006
Last updated
01/05/2011
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