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

DR. MARK ALAN WALLACE, DC

Active Sole Proprietor

Chiropractor · COLLIERVILLE, TN

Registration Details

NPI Number: 1942241096
Provider Type: Individual
Gender: Male
NPI Issued: Jun 9, 2006 (19.868312375493 yrs)
Last Updated: Sep 29, 2010
Licenses: 038010621 (IL)

DC0000002203 (TN)
Sole Proprietor: Yes

Practice Information

Address: 2140 W POPLAR AVE

SUITE 107

COLLIERVILLE, TN, 380170624
Browse TN providers · Browse ZIP 38017
Phone: 9018611212
Fax: 9019611283
Primary Specialty: Chiropractor
111N00000X
Additional Specialty: Chiropractor

Other Chiropractor Providers in COLLIERVILLE, TN

Name	Credential	NPI
DR. BARRY THOMAS KELTON	D.C.	1144291006
MR. STEVEN RAY AMODEO	DC	1578570453
DR. WALTER S WALKER	D.C.	1770611568
DR. LINDSEY THERESE DENSON CARR	DC	1619110657
DR. JEFFREY THOMAS CARR	D.C.	1225271265
DENA DELVARON GRANGER	D.C.	1750653572

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.