Perry Wallace is a Internal Medicine in Meridian, Mississippi. Perry Wallace practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Perry Wallace is 1922044502. The last update date is 2011-11-14.
Perry Wallace's current location address is 4156 A Pl, Meridian, Mississippi. You can contact this provider via phone number 6624020608 and fax number 6012863425. The mailing address for Perry Wallace is 4156 A Pl, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Perry Wallace |
|---|---|
| Address | 4156 A Pl, Meridian, Mississippi |
| Phone Number | 6624020608 |
| Fax Number | 6012863425 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922044502 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2011-11-14 |
Provider Mailing Address Detail
| Address | 4156 A Pl |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393011037 |
| Phone Number | 6624020608 |
| Fax Number | 6012863425 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 10491 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 417498226A | GA | -- | |
| 3331790 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Perry Wallace by the Centers for Medicare & Medicaid Services?
The Perry Wallace has been assigned the NPI (National Provider Identifier) 1922044502 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Perry Wallace's facilities are situated?
The facilities of Perry Wallace are physically located at the following address: 4156 A Pl, Meridian, MS, 393011037.
What is Perry Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Perry Wallace is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When was the Perry Wallace's 1922044502 issued?
The Perry Wallace's 1922044502 was issued on 2006-06-21.
As of what date was the information pertaining to Perry Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Perry Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-14.