Individual
SARAH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 PATTERSON ST, SUITE 311, NASHVILLE, TN 37203-1562
(615) 342-6830
(615) 342-6836
Mailing address
2400 PATTERSON ST, SUITE 311, NASHVILLE, TN 37203-1562
(615) 342-6830
(615) 342-6836
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1517
TN
Other
Enumeration date
10/11/2006
Last updated
04/23/2008
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