Individual
DR. FERNANDO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4505
(601) 984-5200
(601) 984-2086
Mailing address
2500 NORTH STATE STREET, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4505
(601) 984-5200
(601) 984-2086
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
22552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09303041
—
MS
05
—
157213
—
AL
05
—
2406752
—
LA
Enumeration date
07/10/2010
Last updated
12/21/2015
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