Goolsby, Marissa Weiching
Goolsby, Marissa Weiching is an individual health care provider with primary practice located at 4650 Hugh Howell Rd Ste 510 , Tucker GA 30084-5031. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goolsby, Marissa Weiching can be contacted via phone (678) 956-8630.Contact Information
Primary practice address
4650 Hugh Howell Rd Ste 510
Tucker GA 30084-5031
Phone: (678) 956-8630
Fax: (678) 956-8634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11151 | Georgia |
Profile Details
| NPI number | 1144786237 |
|---|---|
| LBN Legal business name | Goolsby, Marissa Weiching |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2019 |
| Last updated | Sep 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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