Organization
TRACRW LLC
Active
Parent organization
CHARLES WALLACE JR MD
Other names
Treatment Rooms of America CRW
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES WALLACE JR MD
Authorized official
DR. CHARLES R WALLACE MD (PRESIDENT)
(901) 272-3200
Entity
Organization
Contact information
Practice address
995 S YATES RD, SUITE 1, MEMPHIS, TN 38119-0882
(901) 527-7100
Mailing address
995 S YATES RD, SUITE 1, MEMPHIS, TN 38119-0882
(901) 527-7100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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