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Search › Tennessee › 363A00000X

Trevor Wallace, PA-C

NPI 1396281200 · on the registry since 2017

Practice

Address
988 Oak Ridge Tpke Ste 100
Oak Ridge, TN 37830
Phone
(865) 690-4861
Fax
(865) 483-4194
Organisation at this address
Mmc Healthworks Llc
Physicians Diagnostic Services
Tennessee Orthopaedic Clinics Pc
Tennessee Orthopaedic Clinics Pc
Tennessee Orthopaedic Alliance Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
GA, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee