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DOUGLAS W WALLACE MD
NPI 1083608053
Radiology - Diagnostic Radiology in Columbus, GA

Active since September 07, 2005
2300 MANCHESTER EXPY, STE A001, COLUMBUS, GA 31904(706) 257-7700(706) 257-7708 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Douglas W Wallace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS W WALLACE MD (NPI 1083608053) is an individual diagnostic radiology provider in Columbus, Georgia, licensed in Georgia (014966) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1083608053
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS W WALLACECredential: MD
Location Address2300 MANCHESTER EXPY, STE A001Columbus, GA 31904-6802
Mailing AddressP.o. Box 9145Columbus, GA 31908-9145 · (706) 257-7700 · Fax (706) 257-7708
Phone(706) 257-7700
Fax(706) 257-7708
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 27, 2015
✔ NPI 1083608053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 014966✔ Licensed in GA · 14966
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2300 MANCHESTER EXPY, Columbus, GA 31904
Open in Google Maps ↗

Other Identifiers 3

Other202I307506GA · Medicare Ptan
Medicaid141177AL
Medicaid003139318AGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRYCE WILLARD GAUNT P.T., SCS
Physical Therapist
2300 MANCHESTER EXPY, SUITE 101B
COLUMBUS, GA 31904
Muscogee County (706) 256-0825
GRETCHEN M HINSON OT/L, CHT
Occupational Therapist
2300 MANCHESTER EXPY, SUITE 101B
COLUMBUS, GA 31904
Muscogee County (706) 256-0825
JOSE ALFONSO CANEDO MD
Psychiatry & Neurology (Neurology)
2300 MANCHESTER EXPY, BLDG H SUITE 103
COLUMBUS, GA 31904
Muscogee County (706) 571-0121
BIPIN M. PATEL, M.D., P.C.
Internal Medicine (Pulmonary Disease)
2300 MANCHESTER EXPY, SUITE B-2
COLUMBUS, GA 31904
Muscogee County (706) 323-0625
VETERANS FAMILY CARE
Family Medicine
2300 MANCHESTER EXPY, SUITE F- 8
COLUMBUS, GA 31904
Muscogee County (706) 494-5955
JACK H BLALOCK JR, MD, PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2300 MANCHESTER EXPY, STE F1
COLUMBUS, GA 31904
Muscogee County (706) 660-8505
WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, P.C.
Clinic/Center (Health Service)
2300 MANCHESTER EXPY, ST FRANCIS MEDICAL PARK, H-103
COLUMBUS, GA 31904
Muscogee County (706) 571-0121
SUSAN L EPLEY MD
Obstetrics & Gynecology
2300 MANCHESTER EXPY, BUTLER PAVILION, STE B001
COLUMBUS, GA 31904
Muscogee County (706) 324-4891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Wallace's NPI number?

The NPI number for Douglas Wallace is 1083608053. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Douglas Wallace located?

Douglas Wallace practices at 2300 Manchester Expy Ste A001, Columbus, GA 31904. The listed phone number is (706) 257-7700.

What is Douglas Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Douglas Wallace was last updated on July 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.