DOUGLAS WALLACE, MD

Radiology - Diagnostic Radiology

Active Individual
NPI: 1083608053

Practice Address

2300 MANCHESTER EXPY
STE A001
Columbus, GA 31904

Phone: (706) 257-7700

Specialties

Specialty Code Primary License
Radiology - Diagnostic Radiology 2085R0202X Yes 014966 (GA)

Frequently Asked Questions

NPI 1083608053 is the National Provider Identifier for DOUGLAS WALLACE, MD, a Radiology - Diagnostic Radiology provider located in Columbus, GA. This NPI was enumerated on September 7, 2005.
DOUGLAS WALLACE, MD practices at 2300 MANCHESTER EXPY, STE A001, Columbus, GA 31904.

Quick Facts

NPI
1083608053
Type
Individual
Enumerated
Sep 7, 2005
Last Updated
Jul 27, 2015

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