Individual
DR. ERIC JOSEPH WALLACE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2865
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
72895
TN
2085R0202X
Diagnostic Radiology Physician
MD.35761
AL
Other
Enumeration date
03/20/2012
Last updated
02/16/2025
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