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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES R. WALLACE, JR., MD

Active Organization

CHARLES R. WALLACE, JR., MD is a Urology organization located in MEMPHIS, Tennessee. NPI 1558522367 is currently active in the NPPES registry. Verify at CMS.

Urology · MEMPHIS, TN

Registration Details

NPI Number
1558522367
Provider Type
Organization
NPI Issued
Jun 24, 2008 (18.12949321391 yrs)
Last Updated
Jun 24, 2008

Practice Information

Address
1325 EASTMORELAND AVE STE 425
MEMPHIS, TN, 381047541
Browse TN providers · Browse ZIP 38104
Phone
9012723200
Fax
9012783441
Primary Specialty
Urology
208800000X

Other Urology Organizations in MEMPHIS, TN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.