Individual
MADISON JAMES GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 BITTERSWEET LN APT 134, RANDOLPH, MA 02368-3943
(404) 424-7307
Mailing address
500 GROSSMAN DR # 1167, BRAINTREE, MA 02184-4953
(404) 424-7307
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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