DR. WILLIAM H. WALLACE


Address: 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658
Phone: 6019699050

DR. WILLIAM H. WALLACE (NPI# 1437184017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437184017
Entity Type Individual
Full Name DR. WILLIAM H. WALLACE
Practice Address 1421 N State St # St.1
Ste. 504
Jackson
MS 39202-1658
Practice Telephone 6019699050
Practice Fax Number 6013542443
Mailing Telephone 6019699050
Mailing Fax Number 6013542443
Enumeration Date 2006-07-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173000000X Legal Medicine 6475 MS Other Service Providers

Other Providers WILLIAM WALLACE

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1851740609 William Robert Wallace Internal Medicine 20828 W Deer Ridge Dr, Warrenton, MO 63383-6548 2016-06-11
1093143745 William Dean Wallace Pathology 747 W 4170 S, Murray, UT 84123-1364 2013-10-16
1255765194 William Wallace Counselor 318 S Oak, California, MO 65018 2013-08-28
1598028474 William Todd Wallace Physical Therapist 8225 Coyote Trl, Texarkana, TX 75503-9657 2012-06-16
1184842627 William Arthur Wallace Jr. Surgery 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 2007-04-22
1013087121 William R Wallace Chiropractor 139 Morristown Rd, Bernardsville, NJ 07924-2606 2006-11-08
1508880493 William C Wallace Physical Therapist 1113 N Castle Heights Ave, Suite D, Lebanon, TN 37087-5640 2006-07-26
1225087562 William E Wallace Surgery 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 2006-05-06
1528670361 William Lee Wallace Pharmacist 308 S Main St, Malvern, AR 72104-3737 2020-08-22

Office Location

Street Address 1421 N STATE ST # ST.1
STE. 504
City JACKSON
State MS
Zip Code 39202-1658

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 173000000X
Grouping Other Service Providers
Classification Legal Medicine

Taxonomy Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285915686 William Edward Bowlus Legal Medicine 24 Wimbledon Dr, Jackson, MS 39211-2443 2011-08-30
1841381696 Sanjeeva H Rao Legal Medicine 232 W 2nd St, Jackson, GA 30233-1907 2006-09-27
1184656068 Robert Allen Smith Legal Medicine 1424 N. State St., Ste. 504, Jackson, MS 39202-1658 2006-07-07
1497906879 Brijesh Rameshchandra Panchal Legal Medicine 2545 Spring Arbor Rd, Jackson, MI 49203-3793 2008-10-03
1245404433 Cardio Care PC Legal Medicine 168 W University Pkwy Ste C, Jackson, TN 38305-1624 2008-04-17
1225233562 Bentley & Bentley, P.C. Legal Medicine 2532 Spring Arbor Rd, Jackson, MI 49203-3663 2007-06-18
1871794412 Don Hollingsworth Legal Medicine 601 Court St, Suite 106, Jackson, CA 95642-2160 2007-05-30
1235164021 William O Thompson Legal Medicine 1421 N State St, Ste. 504, Jackson, MS 39202-1658 2006-07-11
1396792560 Timothy S Van Schoick, M.d.,p.c. Legal Medicine 2100 4th St, Jackson, MI 49203-4518 2006-05-31
1669427027 Sandra Kilian Legal Medicine 760 W Franklin St, Jackson, MI 49201-2048 2006-05-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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