Individual
DR. SUSIE PARKER GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
500 EAST SEVENTH ST, THIBODAUX, LA 70301-3615
(985) 446-0500
(985) 446-0500
Mailing address
500 EAST SEVENTH ST, THIBODAUX, LA 70301-3615
(985) 446-0500
(985) 446-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848026
—
LA
Enumeration date
08/02/2006
Last updated
07/08/2007
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