John Gray Wallace, MD
John Gray Wallace, MD is a Family Practice in Kosciusko, Mississippi. Graduated from University of Mississippi School of Medicine in 2011, 15 years ago. Practices with Premier Medical Group of Mississippi LLC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.
- Years since qualifying
- 15
- Trained at
- University of Mississippi School of Medicine
- Licensed in
- MS
- In the registry since
- 2011
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
332 Highway 12 WKosciusko, MS 39090-3209
Phone: (662) 289-1800
Fax: (662) 289-2486
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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 22522 (MS) |
|---|
Record details
| NPI number | 1831486596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 1, 2011 |
| Last updated in NPPES | September 22, 2014 |
| Mailing address | Po Box 23996, Jackson, MS 39225-3996 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Premier Medical Group Of Mississippi Llc — 31 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Kosciusko
-
Jenni Kate Miles, MD
332 Highway 12 W, Kosciusko, MS 39090-3209 · (662) 289-1800
-
Trace Medical Clinic
530 Veterans Memorial Dr, Kosciusko, MS 39090-3858 · (662) 289-9155
-
Trace Medical Clinic, PLLC
530 Veterans Memorial Dr, Kosciusko, MS 39090-3858 · (662) 289-9155
-
Dr. Jackey D Turner, MD
332 Highway 12 W, Kosciusko, MS 39090-3209 · (662) 289-1800
-
Dr. James J Withers, MD
332 Highway 12 W, Kosciusko, MS 39090-3209 · (662) 289-1800