Marissa Weiching Goolsby, PA-C
Physician Assistant · Tucker, GA
Practice location
4650 Hugh Howell Rd Ste 510Tucker, GA 30084-5031
- Phone
- (678) 956-8630
- Fax
- (678) 956-8634
NPI record
- NPI
- 1144786237
- Entity type
- Individual (Type 1)
- Enumeration date
- February 14, 2019
- Last updated
- September 11, 2024
- Certified
- September 11, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
11151 | GA |
| Medical Physician Assistant | 363AM0700X |
— | — |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
2476 Ridgefield TerDecatur, GA 30033-4211
- Phone
- (904) 347-8711
Other practice locations (3)
- 2595 Central Ave, Memphis, TN 38104-5905 · (901) 842-3160
- 3481 Austin Peay Hwy, Memphis, TN 38128-3801 · (901) 842-3165
- 1113 Natchez Pt Apt 93, Memphis, TN 38103-0927 · (904) 347-8711
About Marissa Goolsby
Marissa Weiching Goolsby, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4650 Hugh Howell Rd Ste 510, Tucker, GA 30084-5031. The NPI number 1144786237 was assigned on February 14, 2019 and the record was last updated on September 11, 2024.
Marissa Goolsby lists a license in the registry: #11151 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Marissa Weiching Goolsby, PA-C?
The NPI number is 1144786237.
What is the phone number of Marissa Goolsby?
The phone number listed for the practice location is (678) 956-8630.
Where is Marissa Goolsby located?
4650 Hugh Howell Rd Ste 510, Tucker, GA 30084-5031.
What is the taxonomy code for Marissa Goolsby?
The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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