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Matthew Wallace
NPI 1841746096 · on the registry since 2016
Practice
- Address
- 8141 Sr-100
Nashville, TN 37221 - Phone
- (615) 662-8885
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- MD, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-23
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