William Wallace JR., MD

NPI #1487185054 in Macon, Georgia

Provider Information

NPI Number: 1487185054
Entity Type: Individual
Name: William Wallace JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Mar 24, 2017
Last Updated: Jan 30, 2023

Practice Location

Address: 777 HEMLOCK ST
City: Macon
State: Georgia
ZIP Code: 31201
Phone: (478) 633-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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