DR. Wallace W Weatherly, M.D.
NPI #1972558542 in Jackson, Mississippi
Provider Information
- NPI Number
- 1972558542
- Entity Type
- Individual
- Name
- DR. Wallace W Weatherly, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthopaedic Surgery
- Credential
- M.D.
- Enumeration Date
- May 23, 2006
- Last Updated
- Dec 19, 2017
Practice Location
- Address
- 1801 CRANE RIDGE DR
- Address 2
- SUITE C
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4902
- Phone
- (601) 981-5633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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