Individual
CATHRYN ALICEAACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 CHESTERFIELD HWY, CHERAW, SC 29520-7001
(843) 537-2171
Mailing address
PO BOX 809, CHERAW, SC 29520-0809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL85937
SC
Other
Enumeration date
03/26/2021
Last updated
06/04/2021
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