Individual
DR. KRISTA MARIE PRIGG KOZACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3380 PINE NEEDLES RD, FLORENCE, SC 29501-7908
(843) 432-2952
(843) 799-1959
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L13607
—
SC
Enumeration date
05/11/2006
Last updated
09/14/2021
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