Organization · Type 2 NPI
Charles R. Wallace, Jr., MD
Urology Physician · Memphis, TN
NPI number
1558522367
Active
Practice location
1325 Eastmoreland Ave Ste 425
Memphis, TN 38104-7541
Fax (901) 278-3441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | None listed |
Urology Physician: 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.
Another provider at this address
Other urology physician providers in Memphis
About NPI 1558522367
Charles R. Wallace, Jr., MD's National Provider Identifier is 1558522367, issued on Jun 24, 2008. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Memphis, TN. The record was last updated on Jun 24, 2008.