Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC LEE WALLACE, M.D.
ActiveDR. ERIC LEE WALLACE, M.D. is a General Surgery healthcare provider located in COOKEVILLE, Tennessee. NPI 1780614529 is currently active in the NPPES registry. Verify at CMS.
General Surgery · COOKEVILLE, TN
Registration Details
- NPI Number
- 1780614529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.077266205699 yrs)
- Last Updated
- Oct 14, 2025
- License
-
71205 (TN)
Practice Information
- Address
-
145 W 4TH ST STE 201COOKEVILLE, TN, 385012476Browse TN providers · Browse ZIP 38501
- Phone
- 9317835515
- Fax
- 9317835513
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in COOKEVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| CHINMAY SARVOTTAM MAJMUNDAR | M.D. F.A.C.S. | 1336127885 |
| CHARLES T HUDDLESTON | MD | 1609805431 |
| DANIEL LEE HOWELL JR. | M.D. | 1235393612 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.