Individual
DR. ANNIE BEA GOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
3964 GOODMAN RD E STE 125, SOUTHAVEN, MS 38672-6494
(662) 890-7361
Mailing address
3964 GOODMAN RD E STE 125, SOUTHAVEN, MS 38672-6494
(662) 890-7361
(662) 890-7369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1117
MS
152W00000X
Optometrist
3980
TN
152W00000X
Optometrist
S-E52-TA-B85
AL
Other
Enumeration date
06/24/2020
Last updated
12/17/2025
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