Individual
JACOB S COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MAT
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(843) 339-2100
Mailing address
602 W CEDAR ST, FLORENCE, SC 29501-5137
(918) 706-2691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000059490
SC
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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