WALLACE W WEATHERLY

JACKSON, MS
NPI1972558542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MS  11796)
Enumeration Date2006-05-23
Last Update Date2017-12-19
Business Address
Dr. WALLACE W WEATHERLY M.D.
1801 CRANE RIDGE DR SUITE C
JACKSON, MS 39216-4902
Phone number: 601-981-5633
Mailing Address
Dr. WALLACE W WEATHERLY M.D.
907 E SUNFLOWER RD STE 102
CLEVELAND, MS 38732-2830
Phone number: 662-843-8885
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