Individual
DR. WALLACE W WEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 CRANE RIDGE DR, SUITE C, JACKSON, MS 39216-4902
(601) 981-5633
(601) 981-1844
Mailing address
907 E SUNFLOWER RD, STE 102, CLEVELAND, MS 38732-2830
(662) 843-8885
(662) 843-2280
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11796
MS
Other
Enumeration date
05/23/2006
Last updated
12/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us