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Jeffrey Leigh Wallace, MD
General Practice Physician in Fairhope, Alabama
NPI 1548262108

Jeffrey Leigh Wallace is a General Practice Physician based in Fairhope, AL. Jeffrey Leigh Wallace practices in Fairhope, AL and has the professional credentials of MD. The NPI Number for Jeffrey Leigh Wallace is 1548262108 and holds a License No. 29105 (Alabama).

The current practice location address for Jeffrey Leigh Wallace is 411 N Section St, Fairhope, AL and can be reached out via phone at 251-928-9090 and via fax at 251-990-0520.

Location: 411 N Section St, Fairhope, AL, 36532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548262108
Provider Name
Jeffrey Leigh Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
411 N Section St, Fairhope, AL, 36532
Phone Number
251-928-9090
Fax Number
251-990-0520
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407812001 05 AL
1548262108 05 AL
3-187746 05 TN
institution
Provider Business Practice Location Address Details
Address
411 N Section St
City
Fairhope
State
Alabama
Zip
36532-2649
Phone Number
251-928-9090
Fax Number
251-990-0520
person
Provider Business Mailing Address Details
Address
411 N Section St
City
Fairhope
State
Alabama
Zip
36532-2649
Phone Number
251-928-9090
Fax Number
251-990-0520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
2083P0011X
License No.
MD29105 (Alabama)
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
29105 (Alabama)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
29105 (Alabama)
Definition
Definition to come...
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