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

Dr. William J Wallace, DO

Individual provider Otolaryngology Physician · NPI 1275539603

Dr. William J Wallace, DO is an Otolaryngology in West Columbia, South Carolina. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1992, 34 years ago. Practices with Holston Medical Group PC, a 242-clinician group and works from 2 locations. Licensed in South Carolina and Tennessee.

Years since qualifying
34
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
SC, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

146 E Hospital Dr Ste 200
West Columbia, SC 29169-4800
Phone: (803) 936-7530
Fax: (803) 936-7532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Sheridan Sq, Kingsport, TN 37660 — (423) 246-8155

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 39895 (SC)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence 01428 (TN)

Record details

NPI number1275539603
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1992 (34 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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