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Contact Information

SERGIO G GONZALEZ, MD
119 S 12TH AVE
LAUREL, MS39440-4322
 Phone: 601-649-5842
 Fax: 601-649-0726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SERGIO G GONZALEZ · (Male)

NPI # 1366443210
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 06914
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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