William J Wallace in Kingsport - Facial Plastic Surgery
William J Wallace - NPI 1275539603
William J Wallace is a Facial Plastic Surgery in Kingsport, Tennessee. William J Wallace practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for William J Wallace is 1275539603. The last update date is 2018-06-04.
William J Wallace's current location address is 5 Sheridan Sq, Kingsport, Tennessee. You can contact this provider via phone number 4232468155 and fax number 2462468658. The mailing address for William J Wallace is 5 Sheridan Sq, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William J Wallace |
|---|---|
| Address | 5 Sheridan Sq, Kingsport, Tennessee |
| Phone Number | 4232468155 |
| Fax Number | 2462468658 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1275539603 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2018-06-04 |
Provider Mailing Address Detail
| Address | 5 Sheridan Sq |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 3766073900 |
| Phone Number | 4232468155 |
| Fax Number | 2462468658 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 1428 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3306857 | TN | -- | |
| 64071962 | KY | -- | |
| 6500391 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to William J Wallace by the Centers for Medicare & Medicaid Services?
The William J Wallace has been assigned the NPI (National Provider Identifier) 1275539603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of William J Wallace?
The William J Wallace is situated at 5 Sheridan Sq, in the city of Kingsport, state of TN, with the zip code 3766073900.
What is William J Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William J Wallace's specialized field of practice is Facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Ys0123X.
On what date was the 1275539603 assigned to William J Wallace?
The William J Wallace was issued its 1275539603 on 2005-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding William J Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to William J Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-06-04.