Search › Georgia › 363A00000X
Marissa Goolsby, PA-C
NPI 1144786237 · on the registry since 2019
Practice
- Address
- 4650 Hugh Howell Rd Ste 510
Tucker, GA 30084 - Phone
- (678) 956-8630
- Fax
- (678) 956-8634
- Organisation at this address
- Wellstreet Of Georgia Pc
Publix Super Markets, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 2595 Central Ave, Memphis, TN
- 3481 Austin Peay Hwy, Memphis, TN
- 1113 Natchez Pt Apt 93, Memphis, TN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
390200000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia