Organization
UROLOGY PROFESSIONAL ASSOCIATION
Active
Other names
Urologic
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KYLE FALLIN (CEO)
(662) 377-4092
Entity
Organization
Contact information
Practice address
499 GLOSTER CREEK VILLAGE, SUITE A1, TUPELO, MS 38801-4600
(662) 377-7118
(662) 377-7115
Mailing address
499 GLOSTER CREEK VILLAGE, SUITE A1, TUPELO, MS 38801-4934
(662) 377-7100
(662) 377-7115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011122
—
MS
Enumeration date
07/20/2006
Last updated
07/10/2025
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