Weatherly Sports Medicine & Family Orthopaedics, PA
NPI #1215025358 in Jackson, Mississippi
Provider Information
- NPI Number
- 1215025358
- Entity Type
- Organization
- Organization Name
- Weatherly Sports Medicine & Family Orthopaedics, PA
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Mar 28, 2014
Practice Location
- Address
- 1801 CRANE RIDGE DR
- Address 2
- SUITE C
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4902
- Phone
- (601) 981-5633
Authorized Official
- Name
- DR. WALLACE W WEATHERLY III, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (601) 856-5633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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