CHARLES R. WALLACE JR. MD NPI 1558522367

NPI Information

CHARLES R. WALLACE, JR., MD is an urology in Memphis, TN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CHARLES R. WALLACE, JR., MD NPI is 1558522367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 EASTMORELAND AVE STE 425
MEMPHIS, TN
ZIP 38104-541
Phone: (901) 272-3200
Fax: (901) 278-3441

The provider's authorized official is Ann Marie Wallace .
The authorized official title is Office Manager and has the following contact phone number (901) 272-3200.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.

Taxonomy Codes

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