Individual
DR. SETH ADDISON KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1752
(843) 692-1904
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1752
(843) 692-1904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL41042
SC
363AM0700X
Medical Physician Assistant
MA055905
PA
Other
Enumeration date
12/07/2012
Last updated
06/19/2017
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