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Individual

DR. DAVID K. WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5109
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01079216A
IN
207W00000X
Ophthalmology Physician
68821
TN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
01079216A
IN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
68821
TN

Other

Enumeration date
09/26/2006
Last updated
07/17/2025
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