IndividualActive
Mathew Wallace, M.D.
NPI 1306945829 · Pain Medicine (Psychiatry & Neurology) Physician · Montgomery, AL
Provider details
- NPI number
- 1306945829
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD.29202 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4228 Lomac St Ste 2
Montgomery, AL 36106-2929
Phone: (919) 928-2351
Approximate (ZIP-level) locationGet directions
Mailing address
4228 Lomac St Ste 2
Montgomery, AL 36106-2929
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.