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WILLIAM WALLACE, PA

PA

Surgical Physician Assistant

NPI: 1992183412IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

2743(TN)
Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

PA2743(TN)

CMS Specialties

Education

OTHER

Class of 2014

Contact & Hours

Via practice · 3 locations total

Address
105 S WILLOW AVE, SUITE 200
COOKEVILLE, TN 38501

Quick Facts

NPI
1992183412
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
12

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