Individual
DR. SEAN DEREK COSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-0435
Mailing address
110 IVY GREEN WAY APT 1115, CHARLESTON, SC 29414-2801
(803) 634-2730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL90227
SC
208000000X
Pediatrics Physician
LL90227
SC
Other
Enumeration date
05/22/2023
Last updated
06/22/2023
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