| Doctor Name: | MRS. ERIN KOSAK |
| NPI Number: | 1003276676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 19923 |
| Business Practice Address: | 109 Wappoo Creek Dr Charleston, SC - 294122135 |
| Business Phone Number: | 8437967171 |
| Business Fax Number: | 8437957171 |
| Mailing Address: | 109 Wappoo Creek Dr, CHARLESTON |
| State: | SC |
| Postal Code: | 294122135 |
| Phone Number: | 8437967171 |
| Fax Number: | 8437957171 |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 19923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |