Individual provider · Type 1 NPI

William David Wallace, MD

Diagnostic Radiology Physician · Jackson, MS

NPI number 1679060438 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Call (601) 200-2000 Map

Mailing address

PO Box 23073
Jackson, MS 39225-3073

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X28885 (MS)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

174 other providers at this address

Other diagnostic radiology physician providers in Jackson

See all in Jackson →

About NPI 1679060438

William David Wallace, MD's National Provider Identifier is 1679060438, issued on Apr 17, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, MS. The record was last updated on Jul 12, 2024.