Individual
JOSEPH ANTHONY DECOSMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1409 W GEORGIA RD STE B, SIMPSONVILLE, SC 29680-6420
(864) 454-5000
(864) 241-9231
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
90818
SC
Other
Enumeration date
05/18/2020
Last updated
09/12/2023
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