WILLIAM J WALLACE

KINGSPORT, TN
NPI1275539603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: TN  01428)
Enumeration Date2005-06-21
Last Update Date2018-06-04
Business Address
Dr. WILLIAM J WALLACE D.O.
5 SHERIDAN SQ
KINGSPORT, TN 37660
Phone number: 423-246-8155
Mailing Address
Dr. WILLIAM J WALLACE D.O.
5 SHERIDAN SQ
KINGSPORT, TN 37660-7390
Phone number: 423-246-8155
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