Individual
JOHN MELVIN GOOLSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
457 HIGHWAY 80 E, CLINTON, MS 39056-4719
(601) 925-4044
(601) 925-4240
Mailing address
457 HIGHWAY 80 E, CLINTON, MS 39056-4719
(601) 925-4044
(601) 925-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3021-97
MS
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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