JOHN M. WALLACE

LAUREL, MS
NPI1174537708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MS  08491)
Enumeration Date2006-07-28
Last Update Date2013-07-11
Business Address
-- JOHN M. WALLACE M.D.
1203 JEFFERSON ST
LAUREL, MS 39440-4354
Phone number: 601-649-2863
Mailing Address
-- JOHN M. WALLACE M.D.
1203 JEFFERSON ST
LAUREL, MS 39440-4354
Phone number: 601-649-2863
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