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Search › Mississippi › 1041C0700X

Lowell Wallace

NPI 1932610623 · on the registry since 2017

Practice

Address
1120 E Main St Ste 24
Philadelphia, MS 39350
Phone
(601) 781-8677
Fax
(601) 207-7720
Organisation at this address
Johnson Eye Center Pllc
Procare Prosthetics Inc
Open Minds Counseling Llc
Neshoba County General Hospital
Neshoba County General Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 4715 24th Pl, Meridian, MS

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Sex
Male
Record last updated
2018-03-17

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