Individual
DR. JOANNA DOREEN KOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001
(704) 984-4448
Mailing address
PO BOX 30637, CHARLOTTE, NC 28230-0637
(704) 973-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2009-00750
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36156
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
70491
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME124961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009-00750
STATE LICENSE
NC
01
—
36156
STATE LICENSE
SC
Enumeration date
09/24/2006
Last updated
06/11/2019
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