Mr Stuart C Wallace, CRNA | |
1800b Beech Ave, Nashville, TN 37203-5416 | |
(731) 803-9773 | |
Not Available |
Full Name | Mr Stuart C Wallace |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1800b Beech Ave, Nashville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790968048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 13277 (Tennessee) | Primary |
Entity Name | Mid South Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548565245 PECOS PAC ID: 0749440782 Enrollment ID: O20120328000604 |
Mailing Address | Practice Location Address |
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Mr Stuart C Wallace, CRNA 1800b Beech Ave, Nashville, TN 37203-5416 Ph: (731) 803-9773 | Mr Stuart C Wallace, CRNA 1800b Beech Ave, Nashville, TN 37203-5416 Ph: (731) 803-9773 |
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