Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS W WALLACE, MD
ActiveDOUGLAS W WALLACE, MD is a Diagnostic Radiology healthcare provider located in COLUMBUS, Georgia. NPI 1083608053 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · COLUMBUS, GA
Registration Details
- NPI Number
- 1083608053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (20.756328829545 yrs)
- Last Updated
- Jul 27, 2015
- Licenses
-
14966 (GA)014966 (GA)
Practice Information
- Address
-
2300 MANCHESTER EXPYSTE A001COLUMBUS, GA, 319046802Browse GA providers · Browse ZIP 31904
- Phone
- 7062577700
- Fax
- 7062577708
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in COLUMBUS, GA
| Name | Credential | NPI |
|---|---|---|
| ROBERT L GARNETT | MD | 1215921010 |
| MICHAEL PETER POSTMA | MD | 1477547438 |
| MAX WOLF | MD | 1427042498 |
| JOHN MICHAEL ABERNATHY | MD | 1780678573 |
| LAURA A LEVY | MD | 1588658389 |
| CHARLES GEE RAY III | MD | 1962496943 |
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.