Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALLACE W WEATHERLY, M.D.
ActiveDR. WALLACE W WEATHERLY, M.D. is a Orthopaedic Surgery healthcare provider located in JACKSON, Mississippi. NPI 1972558542 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · JACKSON, MS
Registration Details
- NPI Number
- 1972558542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.184286801326 yrs)
- Last Updated
- Dec 19, 2017
- License
-
11796 (MS)
Practice Information
- Address
-
1801 CRANE RIDGE DRSUITE CJACKSON, MS, 392164902Browse MS providers · Browse ZIP 39216
- Phone
- 6019815633
- Fax
- 6019811844
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. LARRY DANIEL FIELD | MD | 1073501250 |
| DR. JAMES WRIGHT O'MARA JR. | MD | 1841288057 |
| DR. JAMES RANDALL RAMSEY | MD | 1376531582 |
| DR. WALTER ROWEN SHELTON II | MD | 1578551792 |
| DR. PENNY JO LAWIN | MD | 1346238540 |
| DR. GENE RICHARD BARRETT | MD | 1386632552 |
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.