William Jacob Wallace is a Surgical Physician Assistant based in Cookeville, TN and is specialized in Surgical. William Jacob Wallace practices in Cookeville, TN and has the professional credentials of PA. The NPI Number for William Jacob Wallace is 1992183412 and holds a License No. 2743 (Tennessee).
The current practice location address for William Jacob Wallace is 105 S Willow Ave, Cookeville, TN and can be reached out via phone at 931-372-7716 and via fax at 931-372-0087. You can also correspond with William Jacob Wallace through the mailing address at 203 N CEDAR AVE, COOKEVILLE, TN - 38501-2498 (mailing address contact number: 931-528-1992).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q015216 | 05 | TN |
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