Individual
DR. MATHEW CARY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4228 LOMAC ST STE 2, MONTGOMERY, AL 36106-2929
(919) 928-2351
Mailing address
4228 LOMAC ST STE 2, MONTGOMERY, AL 36106-2929
(919) 928-2351
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
MD.29202
AL
Other
Enumeration date
09/21/2006
Last updated
08/01/2024
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