Wallace, Cynthia L

Wallace, Cynthia L is an individual health care provider with primary practice located at 4777 Andrew Jackson Pkwy Suite 101, Hermitage TN 37076-1356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wallace, Cynthia L can be contacted via phone (615) 889-0134.

Contact Information

Primary practice address
4777 Andrew Jackson Pkwy Suite 101 Hermitage TN 37076-1356
Fax: (615) 889-0135
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD30127 Tennessee

Profile Details

NPI number 1386615540
LBN Legal business name Wallace, Cynthia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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