Individual
ELTIPRISE KOSOBUD-SOSSAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
208B RUTLEDGE AVENUE MSC 108, CHARLESTON, SC 29425-0001
(843) 792-3224
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
27898
SC
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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