| Jennifer D Gholson Md, Llc | |
|
804 Robb St Summit MS 39666-8291 | |
| (601) 276-7665 | |
| (601) 276-7655 |
| Full Name | Jennifer D Gholson Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 804 Robb St, Summit, Mississippi |
| Authorized Official Name and Position | Jennifer Gholson (OWNER) |
| Authorized Official Contact | 6012767665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer D Gholson Md, Llc 804 Robb St Summit MS 39666-8291 Ph: (601) 276-7665 | Jennifer D Gholson Md, Llc 804 Robb St Summit MS 39666-8291 Ph: (601) 276-7665 |
| NPI Number | 1487967410 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487967410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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