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Individual

INES W SOUKOULIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 PETER JEFFERSON PKWY, SUITE 230, CHARLOTTESVILLE, VA 22911-8835
(434) 984-2400
(434) 984-2400
Mailing address
600 PETER JEFFERSON PKWY, SUITE 230, CHARLOTTESVILLE, VA 22911-8835
(434) 984-2400
(434) 984-2400

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101256447
VA
207N00000X
Dermatology Physician
247534
MA

Other

Enumeration date
05/13/2008
Last updated
04/14/2016
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