Mcgrew, Wallace R

Mcgrew, Wallace R is an individual health care provider with primary practice located at 330 23Rd Ave N Ste 300 Suite 300, Nashville TN 37203-1690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mcgrew, Wallace R can be contacted via phone (615) 342-5900.

Contact Information

Primary practice address
330 23Rd Ave N Ste 300 Suite 300 Nashville TN 37203-1690
Phone: (615) 342-5900
Fax: (615) 342-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD13612 Tennessee

Profile Details

NPI number 1629063854
LBN Legal business name Mcgrew, Wallace R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jun 11th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629063854 NPPES
Tennessee MEDICAID 3199910
Tennessee MEDICAID 6477311200
Tennessee Other 100015681

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