Jennifer D Gholson MD, LLC
Organization Active NPI Family Medicine Physician · Summit, MS
NPI 1487967410 · NPPES record last updated Jun 16, 2015
Key facts
- NPI
- 1487967410
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- JENNIFER D GHOLSON MD, LLC
- Practice address
- 804 Robb St
Summit, MS 39666-8291 - Phone
- (601) 276-7665
- Fax
- (601) 276-7655
- NPI assigned
- Jul 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Gholson, MD
- Title
- Owner
- Phone
- (601) 276-7665
Practitioners 3
-
Tiffany Mensi, FNP-C
-
Debbie Zachary, CNFP
-
Lori Tate, L.C.S.W
National Provider Directory
Locations
804 Robb St
Summit, MS 39666
Phone (601) 276-7665
701 Laurel St
Summit, MS 39666
Phone (601) 276-7665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
804 Robb St
Summit, MS 39666-8291
Mailing address
804 Robb St
Summit, MS 39666-8291
Phone (601) 276-7665
Other providers in Summit, MS
- Gretchen Huff
- Joshua C Hutson
- Barbara Ivory
- Jackson Hinds Comprehensive Health
- Cortez Jackson
- Anna Johnson
- Myisha Johnson
- Jolimar Summit Recovery Center, Inc.
- Ellen Jordan
- Joe Keys
All providers in Summit, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.