Individual
DR. JOHN A GHOLSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
130 DONELSON PIKE, NASHVILLE, TN 37214-2926
(615) 889-7111
(615) 889-6717
Mailing address
130 DONELSON PIKE, NASHVILLE, TN 37214-2926
(615) 889-7111
(615) 889-6717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 1492
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0543098
UNITED CONCORDIA
TN
01
—
2007322
BCBS
TN
Enumeration date
08/10/2006
Last updated
08/12/2014
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