MS. Augusta Blundon Kosowicz, PA-C
NPI #1144285149 in Charleston, West Virginia
Provider Information
- NPI Number
- 1144285149
- Entity Type
- Individual
- Name
- MS. Augusta Blundon Kosowicz, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 3100 MACCORKLE AVE SE
- Address 2
- SUITE 101
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-1223
- Phone
- (304) 388-8380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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