Whalio Doctors

NPI 1093721961

Jonathan J Polhemus, MD

Practitioner Family Medicine Physician Laurel, MS

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
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MS19391 (MS)

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.