| John M Wallace, MD | |
|
1203 Jefferson St, Laurel, MS 39440-4354 | |
| (601) 649-2863 | |
| (601) 649-9479 |
| Full Name | John M Wallace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 1203 Jefferson St, Laurel, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174537708 | NPI | - | NPPES |
| 00011285 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 08491 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John M Wallace, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863 | John M Wallace, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863 |
Bassam K Mechleb, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525 | |
Dr. Hamit Kumar, M.B.B.S Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-2863 | |
Carolyn Cegielski, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Willus Mark Horne, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Joel Thomas Shores, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
David L Harrison, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |