DR. Eric Lee Wallace, M.D.

NPI #1780614529 in Cookeville, Tennessee

Provider Information

NPI Number: 1780614529
Entity Type: Individual
Name: DR. Eric Lee Wallace, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jul 4, 2006
Last Updated: Oct 14, 2025

Practice Location

Address: 145 W 4TH ST STE 201
City: Cookeville
State: Tennessee
ZIP Code: 38501-2476
Phone: (931) 783-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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