Mary Jo Goolsby is a Adult Health in Augusta, Georgia. Mary Jo Goolsby practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Mary Jo Goolsby is 1811993926. The last update date is 2007-07-08.
Mary Jo Goolsby's current location address is 1350 Walton Way, Augusta, Georgia. You can contact this provider via phone number 7067748187 and fax number 7067745020. The mailing address for Mary Jo Goolsby is 1350 Walton Way, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Goolsby |
|---|---|
| Address | 1350 Walton Way, Augusta, Georgia |
| Phone Number | 7067748187 |
| Fax Number | 7067745020 |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1811993926 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1350 Walton Way |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 3090126120 |
| Phone Number | 7067748187 |
| Fax Number | 7067745020 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | RN060379 NP |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the unique 10-digit identifier code assigned to Mary Jo Goolsby by the Centers for Medicare & Medicaid Services?
The Mary Jo Goolsby has been issued the NPI (National Provider Identifier) 1811993926 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mary Jo Goolsby's facilities are geographically located?
The facilities of Mary Jo Goolsby are physically situated at the following location: 1350 Walton Way, Augusta, GA, 3090126120.
What is the Mary Jo Goolsby's area of specialization and corresponding taxonomy classification?
The Mary Jo Goolsby's specialty field is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811993926 to Mary Jo Goolsby?
The Centers for Medicare & Medicaid Services originally issued the 1811993926 to Mary Jo Goolsby on 2005-06-23.
As of what date were the Mary Jo Goolsby's details last updated?
The information pertaining to the Mary Jo Goolsby, including its address, specialty, and other details, was most recently updated on 2007-07-08.