Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN M. WALLACE, M.D.
ActiveJOHN M. WALLACE, M.D. is a Pulmonary Disease healthcare provider located in LAUREL, Mississippi. NPI 1174537708 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · LAUREL, MS
Registration Details
- NPI Number
- 1174537708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (20.00112885026 yrs)
- Last Updated
- Jul 11, 2013
- License
-
08491 (MS)
Practice Information
- Address
-
1203 JEFFERSON STLAUREL, MS, 394404354Browse MS providers · Browse ZIP 39440
- Phone
- 6016492863
- Fax
- 6016499479
- Primary Specialty
-
Pulmonary Disease
207RP1001X
Other Pulmonary Disease Providers in LAUREL, MS
| Name | Credential | NPI |
|---|---|---|
| ALLA YUGAY | MD | 1649624834 |
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.