Individual
EDGAR ALLEN MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 679-7000
Mailing address
422 PEPPERS FERRY RD NW, 303, CHRISTIANSBURG, VA 24073-5780
(276) 455-9191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116025289
VA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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