Gonzalez, Sergio G
Gonzalez, Sergio G is an individual health care provider with primary practice located at 119 S 12Th Ave , Laurel MS 39440-4322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Gonzalez, Sergio G can be contacted via phone (601) 649-5842.Contact Information
Primary practice address
119 S 12Th Ave
Laurel MS 39440-4322
Phone: (601) 649-5842
Fax: (601) 649-0726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 06914 | Mississippi |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 06914 | Mississippi |
Profile Details
| NPI number | 1366443210 |
|---|---|
| LBN Legal business name | Gonzalez, Sergio G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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