JOHN M. WALLACE M.D.
NPI 1174537708
Internal Medicine - Pulmonary Disease in Laurel, MS

Active since July 28, 2006
1203 JEFFERSON ST, LAUREL, MS 39440(601) 649-2863(601) 649-9479 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M. Wallace M.d. NPPES

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

JOHN M. WALLACE M.D. (NPI 1174537708) is an individual pulmonary disease provider in Laurel, Mississippi, licensed in Mississippi (08491) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174537708
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOHN M. WALLACECredential: M.D.
Location Address1203 JEFFERSON STLaurel, MS 39440-4354
Mailing Address1203 Jefferson StLaurel, MS 39440-4354 · (601) 649-2863 · Fax (601) 649-9479
Fax(601) 649-9479
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 11, 2013
NPI 1174537708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MS · 08491
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1203 JEFFERSON ST, Laurel, MS 39440

Other Identifiers 3

Medicare PIN302I294672MS
Medicare UPINB64620
Medicaid00011285MS

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.

Nurse Practitioner
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Psychiatry & Neurology (Neurology)
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine (Gastroenterology)
1203 JEFFERSON ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine (Gastroenterology)
1203 JEFFERSON ST
LAUREL, MS 39440

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 John Wallace's NPI number?

The NPI number for John Wallace is 1174537708. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is John Wallace located?

John Wallace practices at 1203 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 649-2863.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on July 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.