Individual
DR. MARY JO GOOLSBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-8187
(706) 774-5020
Mailing address
3421 WALTON WAY, AUGUSTA, GA 30909-4532
(706) 729-0832
(706) 774-8187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN060379 NP
GA
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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