| NPI | 1750957361 |
|---|---|
| Professional Name | CHARLES RYAN COSBY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 99941) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 12849) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-10-11 |