Wallace, Meshia Kerry-Ann
Wallace, Meshia Kerry-Ann is an individual health care provider with primary practice located at 2412 Village Professional Dr S , Opelika AL 36801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Wallace, Meshia Kerry-Ann can be contacted via phone (334) 528-6670.Contact Information
Primary practice address
2412 Village Professional Dr S
Opelika AL 36801
Phone: (334) 528-6670
Fax: (334) 528-6671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 005647 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 36982 | Alabama |
Profile Details
| NPI number | 1659635472 |
|---|---|
| LBN Legal business name | Wallace, Meshia Kerry-Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Jan 9th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659635472 | NPPES |
| Alabama | MEDICAID | 219026 |
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