WILLIAM DAVID WALLACE

JACKSON, MS
NPI1679060438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-17
Last Update Date2018-04-17
Business Address
WILLIAM DAVID WALLACE MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1779
Mailing Address
WILLIAM DAVID WALLACE MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1779
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