National Provider Identifier Database

SERGIO G GONZALEZ MD PA
Dermatopathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.


Contact Information

SERGIO G GONZALEZ MD PA
119 SOUTH 12TH AVENUE
LAUREL, MS39440-4322
Phone: 601-425-9763
Fax: 601-428-5360
Website:
Specialty Taxonomy Code
* Dermatopathology 207ZD0900X
General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for SERGIO G GONZALEZ MD PA

NPI Number 1952307308
Legal business name
LBN
SERGIO G GONZALEZ MD PA
Authorized official SERGIO GONZALEZ - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/21/2005
Last updated 01/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 06914
  • MS License #: 6914
  • MS Medicaid: 00013124
  • MS Other: 512G70024 MEDICARE GROUP

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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