Marissa Weiching Goolsby, PA-C

NPI #1144786237 in Tucker, Georgia

Provider Information

NPI Number: 1144786237
Entity Type: Individual
Name: Marissa Weiching Goolsby, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 14, 2019
Last Updated: Sep 11, 2024

Practice Location

Address: 4650 HUGH HOWELL RD STE 510
City: Tucker
State: Georgia
ZIP Code: 30084-5031
Phone: (678) 956-8630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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