Individual
DR. JASON MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1413 TIFT AVE N, TIFTON, GA 31794-3546
(229) 382-0803
(229) 382-0809
Mailing address
PO BOX 1349, TIFTON, GA 31793-1349
(229) 382-0803
(229) 382-0809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013320
GA
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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