Healthcare Provider Details

I. General information

NPI: 1023040318
Provider Name (Legal Business Name): PAUL S. FINEBURG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2819 DENNY AVE
PASCAGOULA MS
39581-5301
US

IV. Provider business mailing address

2101 HIGHWAY 90
GAUTIER MS
39553-5340
US

V. Phone/Fax

Practice location:
  • Phone: 228-762-3466
  • Fax: 228-762-6349
Mailing address:
  • Phone: 228-497-7576
  • Fax: 228-497-8869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18487
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: