NPI 1205174737

Justin R. Goebel, PA

Practitioner Physician Assistant Flowood, MS

Practice location

Address: 104 Burney Dr, Flowood, MS 39232-6621
Phone: (601) 987-8200
Fax: (601) 987-8211
Mailing address: PO Box 1826, Pelham, AL 35124-5826

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00492 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1205174737
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2013
Record last updated: 14 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.