Individual
SERGEY S DZUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 MEDICAL PARK, HATTIESBURG, MS 39401-9042
(601) 268-5630
(601) 268-5819
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5630
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21418
MS
207X00000X
Orthopaedic Surgery Physician
PGY.2.TUL-OSUR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06825007
—
MS
01
—
3304723
UNITED HEALTHCARE
MS
01
—
6056928
HEALTHSPRINGS
MS
01
—
7542115
CIGNA
MS
01
—
9772841
AETNA
MS
Enumeration date
08/08/2007
Last updated
07/20/2020
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