Milton Wallace Jr
Medical Specialty
Professional ID
- NPI: 1912964057
- PECOS ID: 4981711371
- Enrollment ID: I20111118000094
- Credential(MD, DO, DPM):
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 1980
Hospital Service
- Hospital CCN1: 010120
- Business Name (LBN)1: Monroe County Hospital
- Hospital CCN2: 010113
- Business Name (LBN)2: Mobile Infirmary Medical Center
- Hospital CCN3: 010090
- Business Name (LBN)3: Providence Hospital
- Hospital CCN4: 010100
- Business Name (LBN)4: Thomas Hospital
Medical Practices
- Organization Name: The Orthopaedic Group, Pc
- Group Practice ID assigned by PECOS: 2264331826
- Number of Group Practice member: 59
Location
- Address1: 6144 Airport Blvd
- Address2:
- City: Mobile
- State: Alabama
- Zip Code: 36608
- Phone Number: (251)476-5050
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes