ELTIPRISE KOSOBUD-SOSSAMON

CHARLESTON, SC
NPI1629855796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: SC  27898)
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
ELTIPRISE KOSOBUD-SOSSAMON APRN
208B RUTLEDGE AVENUE MSC 108
CHARLESTON, SC 29425-0001
Phone number: 843-792-3224
Mailing Address
ELTIPRISE KOSOBUD-SOSSAMON APRN
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200