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John M. Wallace, MD
Pulmonary Disease Physician in Laurel, Mississippi
NPI 1174537708

John M. Wallace is a Pulmonary Disease Physician based in Laurel, MS and is specialized in Pulmonary Disease. John M. Wallace practices in Laurel, MS and has the professional credentials of MD. The NPI Number for John M. Wallace is 1174537708 and holds a License No. 08491 (Mississippi).

The current practice location address for John M. Wallace is 1203 Jefferson St, Laurel, MS and can be reached out via phone at 601-649-2863 and via fax at 601-649-9479.

Location: 1203 Jefferson St, Laurel, MS, 39440-4354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174537708
Provider Name
John M. Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1203 Jefferson St, Laurel, MS, 39440-4354
Phone Number
601-649-2863
Fax Number
601-649-9479
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00011285 05 MS
institution
Provider Business Practice Location Address Details
Address
1203 Jefferson St
City
Laurel
State
Mississippi
Zip
39440-4354
Phone Number
601-649-2863
Fax Number
601-649-9479
person
Provider Business Mailing Address Details
Address
1203 Jefferson St
City
Laurel
State
Mississippi
Zip
39440-4354
Phone Number
601-649-2863
Fax Number
601-649-9479
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
08491 (Mississippi)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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