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Dr. Sidney L. Wallace, MD
Orthopedic Surgery Physician in Knoxville, Tennessee
NPI 1225005069

Sidney L. Wallace is a Orthopedic Surgery Physician based in Knoxville, TN. Sidney L. Wallace practices in Knoxville, TN and has the professional credentials of MD. The NPI Number for Sidney L. Wallace is 1225005069 and holds a License No. MD747 (Tennessee).

The current practice location address for Sidney L. Wallace is 260 Fort Sanders West Blvd, Knoxville, TN and can be reached out via phone at 865-558-4400 and via fax at 865-769-4536. You can also correspond with Sidney L. Wallace through the mailing address at 260 FORT SANDERS WEST BLVD, KNOXVILLE, TN - 37922-3355 (mailing address contact number: 865-769-4545).

Location: 260 Fort Sanders West Blvd, Knoxville, TN, 37922-3355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225005069
Provider Name
Sidney L. Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
260 Fort Sanders West Blvd, Knoxville, TN, 37922-3355
Phone Number
865-558-4400
Fax Number
865-769-4536
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200030085 01 TN RAILROAD MEDICARE
3122938 05 TN
4465401 01 TN AETNA
TN0124 01 TN JOHN DEERE HEALTHCARE
100011199 01 TN TENNCARE
1201443 01 TN UNITED HEALTH CARE
TN0153 01 TN JOHN DEERE HEALTHCARE
3071355 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
260 Fort Sanders West Blvd
City
Knoxville
State
Tennessee
Zip
37922-3355
Phone Number
865-558-4400
Fax Number
865-769-4536
person
Provider Business Mailing Address Details
Address
260 Fort Sanders West Blvd
City
Knoxville
State
Tennessee
Zip
37922-3355
Phone Number
865-558-4400
Fax Number
865-769-4536
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
MD747 (Tennessee)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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