Wallace W Weatherly, MD

Orthopedic surgeon in Sweetwater, Texas · NPI 1972558542

Wallace Weatherly is the only orthopedic surgeon we list in Sweetwater, Texas. See all orthopedic surgeons in Texas. Wallace Weatherly practices with Discovery Medical Network Sweetwater LLC.

Registry record (NPPES)

NPI
1972558542
Type
Type 1 · Individual
Primary taxonomy
Orthopaedic Surgery · 207X00000X
Address on file
1801 Crane Ridge Dr
Jackson, MS 39216-4902
(601) 981-5633
Enumerated
May 23, 2006
Record last updated
Dec 19, 2017
License states listed
MS

Medicare (CMS)

Enrollment
Medicare-enrolled in MS, TX
Orthopedic Surgery
Revalidation due
No date set by CMS

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Practice locations

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.