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Contact Information

FERNANDO GOMEZ, MD
2500 NORTH STATE STREET
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS39216-4505
 Phone: 601-984-5200
 Fax: 601-984-2086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FERNANDO GOMEZ · (Male)

NPI Number 1669784385
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2010
Last updated 12/21/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 22552
  • AL Medicaid 157213
  • LA Medicaid 2406752
  • MS Medicaid 09303041
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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