Individual
SANQUAN GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9116 MAPLE GROVE DR, SUMMERVILLE, SC 29485-8789
(843) 509-2807
Mailing address
9116 MAPLE GROVE DR, SUMMERVILLE, SC 29485-8789
(843) 509-2807
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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