Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAMES EDWARDS WALLACE JR., MD
Active Sole ProprietorDR. JAMES EDWARDS WALLACE JR., MD is a Family Medicine healthcare provider located in PINEVILLE, Louisiana. NPI 1063464006 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PINEVILLE, LA
Registration Details
- NPI Number
- 1063464006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.199866456666 yrs)
- Last Updated
- Jun 19, 2014
- License
-
MD.200134 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1135 EXPRESSWAY DRSUITE 200 APINEVILLE, LA, 713606698Browse LA providers · Browse ZIP 71360
- Phone
- 3185619600
- Fax
- 3185610228
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PINEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| STEPHEN DYER DOWNS | M.D. | 1750389516 |
| MS. TERESA ELENA HAMM | MD | 1093704009 |
| DR. VINCENT D MALLORY | MD | 1215918503 |
| LORI LYNN GALLAHER | M.D. | 1588645873 |
| MARY EMELEE BENJAMIN | N.P. | 1295716587 |
| JOANNA CAROLE HOLTON | M.D. | 1356322663 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.