Individual
MR. MICHAEL B COSEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD
Contact information
Practice address
1278 N. LAFAYETTE DRIVE, SUMTER, SC 29150
(610) 906-2432
Mailing address
1278 N. LAFAYETTE DRIVE, SUMTER, SC 29150
(610) 906-2432
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1506
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1136
—
SC
Enumeration date
06/26/2018
Last updated
10/25/2018
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