| Doctor Name: | GLORIA F GOMEZ |
| NPI Number: | 1992864052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 10572 |
| Business Practice Address: | 1818 College Drive Meridian, MS - 393075429 |
| Business Phone Number: | 6015817600 |
| Business Fax Number: | 6014835543 |
| Mailing Address: | Po Box 4128, MERIDIAN |
| State: | MS |
| Postal Code: | 393044128 |
| Phone Number: | 6015817600 |
| Fax Number: | 6014835543 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 12/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |