Douglas W Wallace, MD

NPI #1083608053 in Columbus, Georgia

Provider Information

NPI Number
1083608053
Entity Type
Individual
Name
Douglas W Wallace, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
MD
Enumeration Date
Sep 7, 2005
Last Updated
Jul 27, 2015

Practice Location

Address
2300 MANCHESTER EXPY
Address 2
STE A001
State
Georgia
ZIP Code
31904-6802
Phone
(706) 257-7700

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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