Organization
WALLACE BRAIN AND SPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA BAILEY WALLACE DC (LEAD CHIROPRACTOR)
(662) 251-2195
Entity
Organization
Contact information
Practice address
102 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 251-2195
Mailing address
518 GREENSBORO ST, STARKVILLE, MS 39759-2805
(662) 251-2195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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