NPI 1093721961
Jonathan J Polhemus, MD
Practice location
- Address
- 1220 Jefferson St, Laurel, MS 39440-4355
- Phone
- (601) 426-4507
- Fax
- (601) 426-4228
- Mailing address
- PO Box 247, Laurel, MS 39441-0247
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1093721961
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jul 2006
- Record last updated
- 26 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.