Individual
SARA LATHEM WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 CHILDRENS WAY, NASHVILLE, TN 37232
(615) 936-1830
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
54650
TN
207LP3000X
Pediatric Anesthesiology Physician
Primary
51988
SC
207LP3000X
Pediatric Anesthesiology Physician
54650
TN
Other
Enumeration date
05/09/2011
Last updated
05/31/2018
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