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

John M. Wallace, MD

Individual provider Pulmonary Disease Physician · NPI 1174537708

John M. Wallace, MD is a Pulmonary Disease Physician in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

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

See every abbreviation used in this directory →

Practice location Address checks out

1203 Jefferson St
Laurel, MS 39440-4354
Phone: (601) 649-2863
Fax: (601) 649-9479
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 08491 (MS)

Record details

NPI number1174537708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 11, 2013
Mailing address1203 Jefferson St, Laurel, MS 39440-4354

Other providers in Laurel