HomeNPI Verification

NPI Verification

National Provider Identifier: 1558522367

Charles R. Wallace, Jr., MD

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

1325 EASTMORELAND AVE STE 425

MEMPHIS, TN 381047541

Phone: 901-272-3200

NPI Enumeration Date

June 24, 2008

NPI Number

1558522367

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry