Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. James Edwards Wallace Jr., MD

Individual provider Family Medicine Physician · NPI 1063464006

Dr. James Edwards Wallace Jr., MD is a Family Medicine Physician in Pineville, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1135 Expressway Dr Ste 200 A
Pineville, LA 71360-6698
Phone: (318) 561-9600
Fax: (318) 561-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.200134 (LA)

Record details

NPI number1063464006
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2006
Last updated in NPPESJune 19, 2014

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