person
Michael C Wallace, MD
Family Medicine Physician in Memphis, Tennessee
NPI 1932192556

Michael C Wallace is a Family Medicine Physician based in Atlanta, TN. Michael C Wallace practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Michael C Wallace is 1932192556 and holds a License No. MD36875 (Tennessee).

The current practice location address for Michael C Wallace is 7685 Winchester Rd, Memphis, TN and can be reached out via phone at 901-752-6963 and via fax at 901-751-5540. You can also correspond with Michael C Wallace through the mailing address at PO BOX 405827, ATLANTA, GA - 30384-5800 (mailing address contact number: ).

Location: 7685 Winchester Rd, Memphis, TN, 30384-5800
person
Provider Profile Details
NPI Number
1932192556
Provider Name
Michael C Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7685 Winchester Rd, Memphis, TN, 30384-5800
Phone Number
901-752-6963
Fax Number
901-751-5540
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1474033 01 TN CIGNA
4065344 01 TN BCBS, TN
7128500 01 TN AETNA
institution
Provider Business Practice Location Address Details
Address
7685 Winchester Rd
City
State
Zip
38125-2202
Phone Number
901-752-6963
Fax Number
901-751-5540
person
Provider Business Mailing Address Details
Address
7685 Winchester Rd
City
State
Zip
38125-2202
Phone Number
901-752-6963
Fax Number
901-751-5540
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD36875 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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