Organization
JENNIFER D GHOLSON MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER GHOLSON MD (OWNER)
(601) 276-7665
Entity
Organization
Contact information
Practice address
804 ROBB ST, SUMMIT, MS 39666-8291
(601) 276-7665
(601) 276-7655
Mailing address
804 ROBB ST, SUMMIT, MS 39666-8291
(601) 276-7665
(601) 276-7655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
06/16/2015
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