Individual
DR. JUSTIN MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1370 GORDON ST W, DOUGLAS, GA 31533-3432
(912) 384-1306
Mailing address
4797 ANTIOCH CHURCH RD, PEARSON, GA 31642-2850
(912) 389-2389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013714
GA
Other
Enumeration date
07/16/2008
Last updated
09/08/2015
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