Sergio G Gonzalez MD PA
NPI #1952307308 in Laurel, Mississippi
Provider Information
- NPI Number
- 1952307308
- Entity Type
- Organization
- Organization Name
- Sergio G Gonzalez MD PA
- Primary Specialty
- Pathology - Dermatopathology
- Enumeration Date
- Jun 21, 2005
- Last Updated
- Jan 24, 2008
Practice Location
- Address
- 119 SOUTH 12TH AVENUE
- City
- Laurel
- State
- Mississippi
- ZIP Code
- 39440-4322
- Phone
- (601) 425-9763
Authorized Official
- Name
- DR. SERGIO G GONZALEZ, MD
- Title
- DIRECTOR
- Phone
- (601) 649-5842
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Pathology - Dermatopathology — Dermatopathology |
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