Individual
DR. CLARANCE STEPHEN FARMER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
499 GLOSTER CREEK VLG, SUITE A1, TUPELO, MS 38801-4600
(662) 377-7100
(662) 377-7115
Mailing address
PO BOX 829, TUPELO, MS 38802-0829
(662) 377-7100
(662) 377-7115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12111
MS
208800000X
Urology Physician
21398
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118038
—
MS
05
—
009804010
—
AL
01
—
110150782
RR MEDICARE
—
Enumeration date
07/27/2005
Last updated
07/25/2025
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