Individual provider · Type 1 NPI

John Gray Wallace, MD

Family Medicine Physician · Kosciusko, MS

NPI number 1831486596 Active

Practice location

332 Highway 12 W
Kosciusko, MS 39090-3209

Call (662) 289-1800 Map

Fax (662) 289-2486

Mailing address

PO Box 23996
Jackson, MS 39225-3996

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X22522 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

24 other providers at this address

Other family medicine physician providers in Kosciusko

See all in Kosciusko →

About NPI 1831486596

John Gray Wallace, MD's National Provider Identifier is 1831486596, issued on Jul 1, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kosciusko, MS. The record was last updated on Sep 22, 2014.