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Dr. David Joseph Wallace, MD
Student in an Organized Health Care Education/Training Program in Chattanooga, Tennessee
NPI 1487918322

David Joseph Wallace is a Student in an Organized Health Care Education/Training Program based in Chattanooga, TN. David Joseph Wallace practices in Chattanooga, TN and has the professional credentials of MD. The NPI Number for David Joseph Wallace is 1487918322 and holds a License No. 125062133 (Tennessee).

The current practice location address for David Joseph Wallace is 979 E 3Rd St Ste C-290, Chattanooga, TN and can be reached out via phone at 423-265-2233 and via fax at 423-756-8265.

Location: 979 E 3Rd St Ste C-290, Chattanooga, TN, 37403-2136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487918322
Provider Name
David Joseph Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
979 E 3Rd St Ste C-290, Chattanooga, TN, 37403-2136
Phone Number
423-265-2233
Fax Number
423-756-8265
Provider Enumeration Date
06/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
979 E 3Rd St Ste C-290
City
Chattanooga
State
Tennessee
Zip
37403-2136
Phone Number
423-265-2233
Fax Number
423-756-8265
person
Provider Business Mailing Address Details
Address
979 E 3Rd St Ste C-290
City
Chattanooga
State
Tennessee
Zip
37403-2136
Phone Number
423-265-2233
Fax Number
423-756-8265
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
61102 (Tennessee)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125062133 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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