Individual
SUSAN A MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,RD,CDE,LD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-1727
Mailing address
211 FRIDAY CENTER DR, SUITE 2091, ROOM 2012, CHAPEL HILL, NC 27517-9499
(919) 966-0420
(919) 966-9983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002466
NC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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