Sergio G. Gonzalez, MD

General Practice Physician · Laurel, MS

Individual Active NPI

NPI number 1366443210

Practice location

119 S 12TH Ave
Laurel, MS 39440-4322
Phone
(601) 649-5842
Fax
(601) 649-0726

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NPI record

NPI
1366443210
Entity type
Individual (Type 1)
Enumeration date
August 2, 2005
Last updated
August 9, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 06914 MS
Dermatopathology (Pathology) Physician 207ZD0900X 06914 MS

About Dr. Gonzalez

Sergio G. Gonzalez, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 119 S 12TH Ave, Laurel, MS 39440-4322. The NPI number 1366443210 was assigned on August 2, 2005 and the record was last updated on August 9, 2026.

Dr. Gonzalez lists 2 licenses in the registry: #06914 (MS) for General Practice Physician; #06914 (MS) for Dermatopathology (Pathology) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sergio G. Gonzalez, MD?

The NPI number is 1366443210.

What is the phone number of Dr. Gonzalez?

The phone number listed for the practice location is (601) 649-5842.

Where is Dr. Gonzalez located?

119 S 12TH Ave, Laurel, MS 39440-4322.

What is the taxonomy code for Dr. Gonzalez?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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