Sergio G Gonzalez in Laurel - General Practice

Sergio G Gonzalez - NPI 1366443210

Sergio G Gonzalez is a General Practice in Laurel, Mississippi. Sergio G Gonzalez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sergio G Gonzalez is 1366443210. The last update date is 2007-07-08.

Sergio G Gonzalez's current location address is 119 S 12th Ave, Laurel, Mississippi. You can contact this provider via phone number 6016495842 and fax number 6016490726. The mailing address for Sergio G Gonzalez is 119 S 12th Ave, Laurel, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Sergio G Gonzalez
Address 119 S 12th Ave, Laurel, Mississippi
Phone Number 6016495842
Fax Number 6016490726
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366443210
Provider Enumeration Date 2005-08-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 119 S 12th Ave
City Laurel
State Mississippi (MS)
Post Code 394404322
Phone Number 6016495842
Fax Number 6016490726

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 6914
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Sergio G Gonzalez

What is the unique identifier code issued to Sergio G Gonzalez by the Centers for Medicare & Medicaid Services (CMS)?

The Sergio G Gonzalez has been assigned the NPI (National Provider Identifier) 1366443210. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Sergio G Gonzalez's physical address?

The Sergio G Gonzalez is physically located at 119 S 12Th Ave, in the city of Laurel, MS, with the postal code 394404322.

What is Sergio G Gonzalez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sergio G Gonzalez is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.

On what date did Sergio G Gonzalez receive its 1366443210 assignment from the Centers for Medicare & Medicaid Services?

The Sergio G Gonzalez was assigned its 1366443210 on 2005-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Sergio G Gonzalez most recently updated or revised?

The information pertaining to Sergio G Gonzalez, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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