Individual provider · Type 1 NPI

Eric Lee Wallace, MD

Surgery Physician · Cookeville, TN

NPI number 1780614529 Active

Practice location

145 W 4th St Ste 201
Cookeville, TN 38501-2476

Call (931) 783-5515 Map

Fax (931) 783-5513

Mailing address

140 W 7th St
Cookeville, TN 38501-1726

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X71205 (TN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1780614529

Eric Lee Wallace, MD's National Provider Identifier is 1780614529, issued on Jul 4, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Cookeville, TN. The record was last updated on Oct 14, 2025.