Jennifer D Gholson Md, LLC

NPI #1487967410 in Summit, Mississippi

Provider Information

NPI Number: 1487967410
Entity Type: Organization
Organization Name: Jennifer D Gholson Md, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 19, 2010
Last Updated: Jun 16, 2015

Practice Location

Address: 804 ROBB ST
City: Summit
State: Mississippi
ZIP Code: 39666-8291
Phone: (601) 276-7665

Authorized Official

Name: DR. JENNIFER GHOLSON, MD
Title: OWNER
Phone: (601) 276-7665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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