MICHAEL C WALLACE

MEMPHIS, TN
NPI1932192556
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  MD36875)
Enumeration Date2005-08-30
Last Update Date2016-10-25
Business Address
MICHAEL C WALLACE MD
7685 WINCHESTER RD
MEMPHIS, TN 38125-2202
Phone number: 901-752-6963
Mailing Address
MICHAEL C WALLACE MD
PO BOX 405827
ATLANTA, GA 30384-5800
Phone number:
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