Brenda B Goolsby, RN
Individual provider Active NPI Community Health Registered Nurse · Lincolnton, GA
NPI 1104908144 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104908144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN054204 (GA)
- Practice address
- 176 N. Peachtree Street
Lincolnton, GA 30817 - Phone
- (706) 359-3154
- Fax
- (706) 359-1939
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN054204 | GA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN054204 | GA | Yes |
Addresses
Primary practice location
176 N. Peachtree Street
Lincolnton, GA 30817
Mailing address
72 Kelly St
Lincolnton, GA 30817-2800
Phone (706) 359-1196
Other providers in Lincolnton, GA
- Casey Dion
- Diane H Dunsmore
- Cheryl A Edwards
- Family Care Group of Thomson, Inc
- Cynthia Kyles Fox
- Lashonda Gunby
- Crystal Hardy
- Kimber Hardy
- Hospital Authority of Wilkes County
- House of Hope
All providers in Lincolnton, GA · Community Health Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.