Individual
DR. JUNE PETRYSZN SOUVIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2405 N MAIN ST, ANDERSON, SC 29621-3276
(864) 231-7003
(864) 225-0233
Mailing address
2405 N MAIN ST, ANDERSON, SC 29621-3276
(864) 231-7003
(864) 225-0233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15724
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1698
—
SC
Enumeration date
06/08/2006
Last updated
12/17/2009
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