person
Dr. William J Wallace, DO
Facial Plastic Surgery Physician in Kingsport, Tennessee
NPI 1275539603

William J Wallace is a Facial Plastic Surgery Physician based in Kingsport, TN and is specialized in Facial Plastic Surgery. William J Wallace practices in Kingsport, TN and has the professional credentials of DO. The NPI Number for William J Wallace is 1275539603 and holds a License No. 01428 (Tennessee).

The current practice location address for William J Wallace is 5 Sheridan Sq, Kingsport, TN and can be reached out via phone at 423-246-8155 and via fax at 246-246-8658. You can also correspond with William J Wallace through the mailing address at 5 SHERIDAN SQ, KINGSPORT, TN - 37660-7390 (mailing address contact number: 423-246-8155).

Location: 5 Sheridan Sq, Kingsport, TN, 37660-7390
person
Provider Profile Details
NPI Number
1275539603
Provider Name
William J Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5 Sheridan Sq, Kingsport, TN, 37660-7390
Phone Number
423-246-8155
Fax Number
246-246-8658
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3306857 05 TN
64071962 05 KY
006500391 05 VA
institution
Provider Business Practice Location Address Details
Address
5 Sheridan Sq
City
State
Zip
37660
Phone Number
423-246-8155
Fax Number
246-246-8658
person
Provider Business Mailing Address Details
Address
5 Sheridan Sq
City
State
Zip
37660
Phone Number
423-246-8155
Fax Number
246-246-8658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
01428 (Tennessee)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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