Organization · Type 2 NPI
DR Mark Wallace PLLC
Chiropractor · Collierville, TN
NPI number
1922412766
Active
Practice location
2140 W Poplar Ave, Suite 107
Collierville, TN 38017-0624
Fax (901) 861-1283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2203 (TN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1922412766
DR Mark Wallace PLLC's National Provider Identifier is 1922412766, issued on Jun 19, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Collierville, TN. The record was last updated on Jun 19, 2014.