Individual provider · NPI-1

Patricia Lousie Goldsboro

Nurse's Aide · Jonesboro, GA

NPI number1114175197
StatusActive
Last updated in NPPESSep 3, 2008

Details

NPI
1114175197
Entity type
Individual (NPI-1)
Name
Mrs. Patricia Lousie Goldsboro
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 3, 2008
Last updated
Sep 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aidecn0028883482GAYes

Practice location

8253 Creek St
Jonesboro, GA 30236-3920

Phone 770-756-9795

Mailing address

8253 Creek St
Jonesboro, GA 30236-3920

Phone 770-756-9795

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