Individual
MS. VALERIE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Mailing address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN059933
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000441625C
—
GA
05
—
000441625D
—
GA
01
—
10063529
AMERIGROUP
—
Enumeration date
12/17/2006
Last updated
07/08/2007
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