Goolsby, Mary Jo

Goolsby, Mary Jo is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Goolsby, Mary Jo can be contacted via phone (706) 774-8187.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 774-8187
Fax: (706) 774-5020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN060379 NP Georgia

Profile Details

NPI number 1811993926
LBN Legal business name Goolsby, Mary Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 19 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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