Individual
REGAN ELIZABETH MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 256-1844
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11888
GA
Other
Enumeration date
07/26/2023
Last updated
07/25/2024
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