Individual
DR. JENNIFER GHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
804 ROBB ST, SUMMIT, MS 39666-8291
(601) 276-7665
Mailing address
PO BOX 1268, SUMMIT, MS 39666-1268
(601) 276-7665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17561
MS
Other
Enumeration date
04/18/2006
Last updated
06/16/2015
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