Individual
DR. PAUL FARABAUGH
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
16125
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01509235
—
MS
Enumeration date
07/27/2005
Last updated
07/25/2025
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