Individual
BRYAN WARREN GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66 LAKE CONCORD RD NE, CONCORD, NC 28025-3057
(704) 403-7720
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-00867
NC
Other
Enumeration date
04/07/2014
Last updated
05/04/2023
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