Dr. Sean Derek Cosh, MD
Internal Medicine in Charleston, SC. Individual provider (NPI-1).
NPI number1689366361
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1689366361
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sean Derek Cosh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2023
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | LL90227 | SC | Yes |
| 208000000X | Pediatrics | LL90227 | SC |
Practice location
169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone 843-792-0435
Mailing address
110 Ivy Green Way Apt 1115Charleston, SC 29414-2801
Phone 803-634-2730
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