person
Douglas W Wallace, MD
Diagnostic Radiology Physician in Columbus, Georgia
NPI 1083608053

Douglas W Wallace is a Diagnostic Radiology Physician based in Columbus, GA and is specialized in Diagnostic Radiology. Douglas W Wallace practices in Columbus, GA and has the professional credentials of MD. The NPI Number for Douglas W Wallace is 1083608053 and holds a License No. 14966 (Georgia).

The current practice location address for Douglas W Wallace is 2300 Manchester Expy, Columbus, GA and can be reached out via phone at 706-257-7700 and via fax at 706-257-7708.

Location: 2300 Manchester Expy, Columbus, GA, 31908-9145
person
Provider Profile Details
NPI Number
1083608053
Provider Name
Douglas W Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2300 Manchester Expy, Columbus, GA, 31908-9145
Phone Number
706-257-7700
Fax Number
706-257-7708
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003139318A 05 GA
141177 05 AL
202I307506 01 GA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2300 Manchester Expy
City
State
Zip
31904-6802
Phone Number
706-257-7700
Fax Number
706-257-7708
person
Provider Business Mailing Address Details
Address
2300 Manchester Expy
City
State
Zip
31904-6802
Phone Number
706-257-7700
Fax Number
706-257-7708
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
14966 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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