Individual provider · Type 1 NPI

Wallace W. Weatherly, MD

Orthopaedic Surgery Physician · Jackson, MS

NPI number 1972558542 Active

Practice location

1801 Crane Ridge Dr, Suite C
Jackson, MS 39216-4902

Call (601) 981-5633 Map

Fax (601) 981-1844

Mailing address

907 E Sunflower Rd, Ste 102
Cleveland, MS 38732-2830

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	11796 (MS)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1972558542

Wallace W. Weatherly, MD's National Provider Identifier is 1972558542, issued on May 23, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 19, 2017.