Provider Demographics
NPI:1083920342
Name:GOLDEN TOCCI, JULIE GOLDEN (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:GOLDEN
Last Name:GOLDEN TOCCI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 COLLIER RD NW STE 150
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1604
Mailing Address - Country:US
Mailing Address - Phone:404-355-1966
Mailing Address - Fax:404-603-2801
Practice Address - Street 1:35 COLLIER RD NW STE 150
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1604
Practice Address - Country:US
Practice Address - Phone:404-355-1966
Practice Address - Fax:404-603-2801
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3122363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAMT1937587OtherDEA NUMBER