Individual
DR. CHRISTOPHER JAMES DERRICK WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
58513
TN
Other
Enumeration date
07/08/2019
Last updated
10/21/2020
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