Individual
MR. JOHN MELVIN GOOLSBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
457 HIGHWAY 80 EAST, CLINTON, MS 39056
(601) 925-4044
(601) 925-4240
Mailing address
457 HIGHWAY 80 EAST, CLINTON, MS 39056
(601) 925-4044
(601) 925-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3232-02
MS
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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