Perry Wallace, MD

NPI 1922044502 · on the registry since 2006

Practice

Address: 2121 5th St
Suite 202
Meridian, MS 39301
Phone: (601) 286-3410
Fax: (601) 286-3425
Organisation at this address: Meridian Cab Company, Inc
Mississippi State University
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207R00000X
207R00000X
Also registered as: 207P00000X
207P00000X
207R00000X
Licence states on file: TN, MS, AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi