Individual
DR. MESHIA KERRY-ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2412 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801
(334) 528-6670
(334) 528-6671
Mailing address
2412 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801-4742
(334) 528-6670
(334) 528-6671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.36982
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.36982
AL
207RP1001X
Pulmonary Disease Physician
Primary
MD.36982
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219026
—
AL
Enumeration date
06/26/2012
Last updated
10/28/2025
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