Dzugan, Sergey S

Dzugan, Sergey S is an individual health care provider with primary practice located at 103 Medical Park , Hattiesburg MS 39401-9042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dzugan, Sergey S can be contacted via phone (601) 268-5630.

Contact Information

Primary practice address
103 Medical Park Hattiesburg MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 268-5819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PGY.2.TUL-OSUR Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21418 Mississippi

Profile Details

NPI number 1861683203
LBN Legal business name Dzugan, Sergey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Jul 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861683203 NPPES
Mississippi Other 6056928 HEALTHSPRINGS
Mississippi Other 3304723 HEALTHSPRINGS
Mississippi Other 7542115 HEALTHSPRINGS
Mississippi Other 9772841 HEALTHSPRINGS
Mississippi MEDICAID 06825007 HEALTHSPRINGS

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