Individual
DR. GRADY L GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
317 MAGNOLIA AVE, MERRITT ISLAND, FL 32952-4817
(321) 452-6264
(321) 452-8935
Mailing address
317 MAGNOLIA AVE, MERRITT ISLAND, FL 32952-4817
(321) 452-6264
(321) 452-8935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2808
FL
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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