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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY LEIGH WALLACE, MD

Active

JEFFREY LEIGH WALLACE, MD is a General Surgery healthcare provider located in FAIRHOPE, Alabama. NPI 1548262108 is currently active in the NPPES registry. Verify at CMS.

General Surgery · FAIRHOPE, AL

Registration Details

NPI Number
1548262108
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2005 (21.025618091666 yrs)
Last Updated
Oct 10, 2016
Licenses
29105 (AL)
29105 (AL)
MD29105 (AL)

Practice Information

Address
411 N SECTION ST
FAIRHOPE, AL, 365322649
Browse AL providers · Browse ZIP 36532
Phone
2519289090
Fax
2519900520
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Practice

Other General Surgery Providers in FAIRHOPE, AL

Name Credential NPI
DR. JIMMIE G GAVRAS MD 1649255886
STEPHEN ROY PARDEN MD 1982618260
JOHN WELLS WILSON MD 1982790010
JAMES RICHARD KOEHLER MD DDS 1558410969
COLIN THOMAS BUCKLEY 1669978359
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.