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Sergio G Gonzalez Md Pa
General Practice Physician in Laurel, Mississippi
NPI 1952307308

Sergio G Gonzalez Md Pa is a General Practice Physician based in Laurel, MS. Sergio G Gonzalez Md Pa practices in Laurel, MS. The NPI Number for Sergio G Gonzalez Md Pa is 1952307308 and holds a License No. 6914 (Mississippi).

The current practice location address for Sergio G Gonzalez Md Pa is 119 South 12Th Avenue, Laurel, MS and can be reached out via phone at 601-425-9763 and via fax at 601-428-5360.

Location: 119 South 12Th Avenue, Laurel, MS, 39440-4322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952307308
Provider Name
Sergio G Gonzalez Md Pa
Credential
Provider Entity Type
Organization
Address
119 South 12Th Avenue, Laurel, MS, 39440-4322
Phone Number
601-425-9763
Fax Number
601-428-5360
Provider Enumeration Date
06/21/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
512G70024 01 MS MEDICARE GROUP
00013124 05 MS
institution
Provider Business Practice Location Address Details
Address
119 South 12Th Avenue
City
Laurel
State
Mississippi
Zip
39440-4322
Phone Number
601-425-9763
Fax Number
601-428-5360
person
Provider Business Mailing Address Details
Address
119 South 12Th Avenue
City
Laurel
State
Mississippi
Zip
39440-4322
Phone Number
601-425-9763
Fax Number
601-428-5360
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Dermatopathology
Taxonomy
207ZD0900X
License No.
06914 (Mississippi)
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
6914 (Mississippi)
Definition
Definition to come...
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person
Sergio G Gonzalez
NPI 1366443210
General Practice Physician
119 S 12Th Ave,
LAUREL, MS
39440-4322
601-649-5842
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