| Doctor Name: | SUSAN A MCGOVERN |
| NPI Number: | 1184729618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,RD,CDE,LD |
| License Number: | L002466 |
| Business Practice Address: | 101 Manning Dr Chapel Hill, NC - 275144220 |
| Business Phone Number: | 9199661727 |
| Business Fax Number: | |
| Mailing Address: | 211 Friday Center Dr, Suite 2091, Room 2012 CHAPEL HILL |
| State: | NC |
| Postal Code: | 275179499 |
| Phone Number: | 9199660420 |
| Fax Number: | 9199669983 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | L002466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |