Individual
MR. WALLACE R MCGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 23RD AVE N STE 300, SUITE 300, NASHVILLE, TN 37203-1690
(615) 342-5900
(615) 342-6084
Mailing address
330 23RD AVE N STE 300, SUITE 300, NASHVILLE, TN 37203-1690
(615) 342-5900
(615) 342-6084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD13612
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100015681
RAILROAD MEDICARE
TN
05
—
3199910
—
TN
05
—
6477311200
—
KY
Enumeration date
09/14/2005
Last updated
06/11/2015
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