Provider profile
IndividualWilliam David Wallace
Radiology in Jackson, MS. NPI 1679060438, listed in the CMS NPI Registry since 04/17/2018. Bills Medicare.
NPI 1679060438Specialty RadiologyEnumerated 04/17/2018
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Registry and Medicare facts
- Practice location
- 969 Lakeland Dr, Jackson, MS 39216 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 04/17/2018 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 4,855 Part B CMS Medicare 2024
In the full profile
Locked- 202 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in MS by patient mix and volume
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