Individual
MRS. JEAN ANN PHEMISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
510 LINCOLN DRIVE, SOURTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62848
(618) 997-6800
(618) 998-9124
Mailing address
510 LINCOLN DRIVE, SOURTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62848
(618) 997-6800
(618) 998-9124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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