Individual
CARIANNA COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3501 CLEMSON BLVD STE 1, ANDERSON, SC 29621-1328
(864) 512-3452
(684) 512-3453
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5955
(864) 512-5957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83153
SC
Other
Enumeration date
05/15/2020
Last updated
08/04/2023
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