WILLIAM DAVID WALLACE

JACKSON, MS
NPI1679060438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MS  28885)
Enumeration Date2018-04-17
Last Update Date2024-07-12
Business Address
WILLIAM DAVID WALLACE MD
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-2000
Mailing Address
WILLIAM DAVID WALLACE MD
PO BOX 23073
JACKSON, MS 39225-3073
Phone number: 601-200-6162
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