Search › Mississippi › 207X00000X
Wallace Weatherly, M.D
NPI 1972558542 · on the registry since 2006
Practice
- Address
- 1801 Crane Ridge Dr
Suite C
Jackson, MS 39216 - Phone
- (601) 981-5633
- Fax
- (601) 981-1844
- Organisation at this address
- Out Of The Box Therapy Llc
Thresholds Counseling And Consulting Pllc
Weatherly Sports Medicine & Family Orthopaedics, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-19
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