Douglas W Wallace, MD in Columbus, GA

Douglas W Wallace, MD is a Radiology - Diagnostic Radiology physician based in Columbus, Georgia. Douglas W Wallace is licensed to practice in Georgia (license number 014966) and his current practice location is 2300 Manchester Expy, Ste A001, Columbus, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 257-7700.

NPI number for Douglas W Wallace is 1083608053 and his current mailing address is P.o. Box 9145, Columbus, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083608053.

Contact Information

	Douglas W Wallace, MD
	2300 Manchester Expy, Ste A001, Columbus, GA 31904-6802
	(706) 257-7700
	(706) 257-7708

Map and Direction

Physician's Profile

Full Name	Douglas W Wallace
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2300 Manchester Expy, Columbus, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083608053
Provider Enumeration Date: 09/07/2005
Last Update Date: 07/27/2015

Medical Identifiers

Medical identifiers for Douglas W Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083608053	NPI	-	NPPES
003139318A	Medicaid	GA
141177	Medicaid	AL
202I307506	Other	GA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	14966 (Georgia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	014966 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas W Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Douglas W Wallace, MD P.o. Box 9145, Columbus, GA 31908-9145 Ph: (706) 257-7700	Douglas W Wallace, MD 2300 Manchester Expy, Ste A001, Columbus, GA 31904-6802 Ph: (706) 257-7700

Reviews and Comments

Radiology Doctors in Columbus, GA

Dr. Nishant Michael De Quadros, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, The Medical Center, Columbus, GA 31901 Phone: 706-501-1000
Christopher Leon Mcintire, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 616 19th St, Doctors Hospital, Columbus, GA 31901 Phone: 706-494-4282 Fax: 706-494-4459
Dr. George M Benashvili, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Department Of Radiology, Columbus, GA 31901 Phone: 706-571-1064 Fax: 706-571-1986
Dr. Gilbert Orson Maulsby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7629 River Crest Dr, Columbus, GA 31904 Phone: 706-641-8272
Robert L Garnett, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, St Francis Hospital, Columbus, GA 31904 Phone: 706-596-4115 Fax: 706-596-4119
Dr. Glen Andrew Vahjen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Department Of Radiology, Columbus, GA 31901 Phone: 706-571-1064 Fax: 706-571-1986

Douglas W Wallace, MD - Radiology in Columbus, GA