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Charles R. Wallace, Jr., Md
Urology Physician in Memphis, Tennessee
NPI 1558522367

Charles R. Wallace, Jr., Md is a Urology Physician based in Memphis, TN. Charles R. Wallace, Jr., Md practices in Memphis, TN. The NPI Number for Charles R. Wallace, Jr., Md is 1558522367 and holds a License No. (Tennessee).

The current practice location address for Charles R. Wallace, Jr., Md is 1325 Eastmoreland Ave Ste 425, Memphis, TN and can be reached out via phone at 901-272-3200 and via fax at 901-278-3441.

Location: 1325 Eastmoreland Ave Ste 425, Memphis, TN, 38104-7541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558522367
Provider Name
Charles R. Wallace, Jr., Md
Credential
Provider Entity Type
Organization
Address
1325 Eastmoreland Ave Ste 425, Memphis, TN, 38104-7541
Phone Number
901-272-3200
Fax Number
901-278-3441
Provider Enumeration Date
06/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0040441 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
1325 Eastmoreland Ave Ste 425
City
Memphis
State
Tennessee
Zip
38104-7541
Phone Number
901-272-3200
Fax Number
901-278-3441
person
Provider Business Mailing Address Details
Address
1325 Eastmoreland Ave Ste 425
City
Memphis
State
Tennessee
Zip
38104-7541
Phone Number
901-272-3200
Fax Number
901-278-3441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
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Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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