Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0101260271 | VA |
NPI | 1053584532 |
---|---|
Provider Name | Emily C. Mcgowan |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-9353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 01/10/2020 |