Sergio G Gonzalez MD PA
Sergio G Gonzalez MD PA is a Dermatopathology (Pathology) Physician in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.
- Licensed in
- MS
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
119 S 12th AveLaurel, MS 39440-4322
Phone: (601) 425-9763
Fax: (601) 428-5360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology (Pathology) Physician (primary) | Taxonomy 207ZD0900X · Licence 6914 (MS) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 06914 (MS) |
Record details
| NPI number | 1952307308 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sergio Gonzalez — Director · (601) 649-5842 |
| NPI enumerated | June 21, 2005 |
| Last updated in NPPES | January 24, 2008 |
| Mailing address | 119 South 12th Avenue, Laurel, MS 39440-4322 |
Other providers in Laurel
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Sergio G Gonzalez, MD
119 S 12th Ave, Laurel, MS 39440-4322 · (601) 649-5842