Individual
JAE I SOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 N FANT ST, SUITE C, ANDERSON, SC 29621-5702
(864) 225-7798
(864) 260-3952
Mailing address
500 N FANT ST, SUITE B, ANDERSON, SC 29621-5702
(864) 225-7798
(864) 260-3952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18459
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T24202
—
SC
Enumeration date
07/16/2006
Last updated
10/11/2007
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