institution
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. You can also correspond with Sergio G Gonzalez Md Pa through the mailing address at 119 SOUTH 12TH AVENUE, LAUREL, MS - 39440-4322 (mailing address contact number: 601-425-9763).

Location: 119 South 12Th Avenue, Laurel, MS, 39440-4322
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
State
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
State
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
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
License No.
6914 (Mississippi)
Definition
Definition to come...
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