Individual
SARAH KATHRYN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN2
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
(931) 560-1119
Mailing address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
(931) 560-1119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255347
TN
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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