| June P. Souviron M.D.P.A. | |
|
2405 N Main St Anderson SC 29621-3276 | |
| (864) 231-7003 | |
| (864) 225-0233 |
| Full Name | June P. Souviron M.D.P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 2405 N Main St, Anderson, South Carolina |
| Authorized Official Name and Position | June P Souviron (PHYSICIAN) |
| Authorized Official Contact | 8642317003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| June P. Souviron M.D.P.A. 2405 N Main St Anderson SC 29621-3276 Ph: (864) 231-7003 | June P. Souviron M.D.P.A. 2405 N Main St Anderson SC 29621-3276 Ph: (864) 231-7003 |
| NPI Number | 1497893432 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497893432 | NPI | - | NPPES |
| GP1698 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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