Individual provider · Type 1 NPI

Cynthia L. Wallace, MD

Family Medicine Physician · Hermitage, TN

NPI number 1386615540 Active

Practice location

4777 Andrew Jackson Pkwy, Suite 101
Hermitage, TN 37076-1356

Call (615) 889-0134 Map

Fax (615) 889-0135

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD30127 (TN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1386615540

Cynthia L. Wallace, MD's National Provider Identifier is 1386615540, issued on Jan 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hermitage, TN. The record was last updated on Jul 13, 2026.