Dr Mark Wallace Pllc
NPI #1922412766 in Collierville, Tennessee
Provider Information
- NPI Number
- 1922412766
- Entity Type
- Organization
- Organization Name
- Dr Mark Wallace Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Jun 19, 2014
Practice Location
- Address
- 2140 W POPLAR AVE
- Address 2
- SUITE 107
- City
- Collierville
- State
- Tennessee
- ZIP Code
- 38017-0624
- Phone
- (901) 861-1212
Authorized Official
- Name
- DR. MARK A WALLACE, DC
- Title
- OWNER/CHIROPRACTOR
- Phone
- (901) 861-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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