Healthcare Provider Details

I. General information

NPI: 1023971934
Provider Name (Legal Business Name): CHAYCIE L GOGGINS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW
ATLANTA GA
30309-1613
US

IV. Provider business mailing address

35 COLLIER RD NW
ATLANTA GA
30309-1613
US

V. Phone/Fax

Practice location:
  • Phone: 404-350-9772
  • Fax:
Mailing address:
  • Phone: 404-350-9772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035956
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: