Individual
JUSTIN R. GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
104 BURNEY DR, FLOWOOD, MS 39232-6621
(601) 987-8200
(601) 987-8211
Mailing address
PO BOX 1826, PELHAM, AL 35124-5826
(205) 621-3778
(205) 621-4835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00492
MS
Other
Enumeration date
01/17/2013
Last updated
10/14/2020
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