JOHN WALLACE

M.D. specializing in family medicine in Jackson, Mississippi

NPI: 1831486596

Provider Type

1

Practice Locations

Mailing Location

PO BOX 23996

JACKSON, MS 39225

📞 6012066100

📠 6012066052

Practice Location

332 HIGHWAY 12 W

KOSCIUSKO, MS 39090

📞 6622891800

📠 6622892486

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:7/1/2011
Last Updated:9/22/2014

Credentials

Primary Credential:M.D.