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Individual

MEGAN JEANNE GOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1714 E HUNDRED RD, CHESTER, VA 23836-3310
(804) 681-0556
Mailing address
11934 W BROAD ST STE 200, RICHMOND, VA 23233-1100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004122
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063750230
VA
Enumeration date
01/23/2013
Last updated
09/30/2020
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