Sergio G Gonzalez, MD in Laurel, MS - General Practice

Sergio G Gonzalez, MD is a General Practice physician based in Laurel, Mississippi. Sergio G Gonzalez is licensed to practice in Mississippi (license number 06914) and his current practice location is 119 S 12th Ave, Laurel, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 649-5842.

NPI number for Sergio G Gonzalez is 1366443210 and his current mailing address is 119 S 12th Ave, Laurel, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366443210.

Contact Information

	Sergio G Gonzalez, MD
	119 S 12th Ave, Laurel, MS 39440-4322
	(601) 649-5842
	(601) 649-0726

Physician's Profile

Full Name	Sergio G Gonzalez
Gender	Male
Speciality	General Practice
Location	119 S 12th Ave, Laurel, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1366443210
Provider Enumeration Date: 08/02/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Sergio G Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366443210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZD0900X	Pathology - Dermatopathology	06914 (Mississippi)	Primary
208D00000X	General Practice	06914 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sergio G Gonzalez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sergio G Gonzalez, MD 119 S 12th Ave, Laurel, MS 39440-4322 Ph: (601) 649-5842	Sergio G Gonzalez, MD 119 S 12th Ave, Laurel, MS 39440-4322 Ph: (601) 649-5842

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Sergio G Gonzalez, MD - General Practice in Laurel, MS