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MR. STUART C WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1800B BEECH AVE, NASHVILLE, TN 37203-5416
(731) 803-9773
Mailing address
1800B BEECH AVE, NASHVILLE, TN 37203-5416
(731) 803-9773

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13277
TN

Other

Enumeration date
12/10/2007
Last updated
11/10/2015
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