NPI 1275539603

William J Wallace, DO

Practitioner Otolaryngology Physician West Columbia, SC

Practice location

Address: 146 E Hospital Dr STE 200, West Columbia, SC 29169-4800
Phone: (803) 936-7530
Fax: (803) 936-7532
Mailing address: PO Box 6069, West Columbia, SC 29171-6069

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 39895 (SC)

Other Otolaryngology providers in South Carolina →

Facial Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X Licence 01428 (TN)

Registry record

NPI: 1275539603
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2005
Record last updated: 18 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.