Individual
SERGIO G GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 S 12TH AVE, LAUREL, MS 39440-4322
(601) 649-5842
(601) 649-0726
Mailing address
119 S 12TH AVE, LAUREL, MS 39440-4322
(601) 649-5842
(601) 649-0726
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
06914
MS
208D00000X
General Practice Physician
Primary
06914
MS
Other
Enumeration date
08/02/2005
Last updated
09/11/2025
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