JENNIFER D GHOLSON MD LLC NPI 1487967410

NPI Information

  • NPI: 1487967410
  • Provider Name: JENNIFER D GHOLSON MD, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 804 ROBB ST
    SUMMIT, MS
    ZIP 39666
  • Phone: (601) 276-7665

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NPI Details

JENNIFER D GHOLSON MD, LLC is a family medicine in Summit, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JENNIFER D GHOLSON MD, LLC NPI is 1487967410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

804 ROBB ST
SUMMIT, MS
ZIP 39666-291
Phone: (601) 276-7665
Fax: (601) 276-7655

The provider's authorized official is Jennifer Gholson .
The authorized official title is Owner and has the following contact phone number (601) 276-7665.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 6/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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