CHARLES R. WALLACE, JR., MD
NPI 1558522367
Urology in Memphis, TN

Q: What is Charles R. Wallace, Jr., MD's NPI number?

The NPI number for Charles R. Wallace, Jr., MD is 1558522367. It was assigned to this organization in the NPPES registry on June 24, 2008.

Q: What is Charles R. Wallace, Jr., MD's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since June 24, 2008

1325 EASTMORELAND AVE STE 425, MEMPHIS, TN 38104(901) 272-3200(901) 278-3441 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles R. Wallace, Jr., Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES R. WALLACE, JR., MD (NPI 1558522367) is a healthcare organization registered as an urology in Memphis, Tennessee and active in the NPI registry since June 2008. The organization lists Ann Marie Wallace, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558522367

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameCHARLES R. WALLACE, JR., MD

Location Address1325 EASTMORELAND AVE STE 425Memphis, TN 38104-7541

Mailing Address1325 Eastmoreland Ave Ste 425Memphis, TN 38104-7541 · (901) 272-3200 · Fax (901) 278-3441

Phone(901) 272-3200

Fax(901) 278-3441

Organization SubpartNo

Authorized OfficialAnn Marie WallaceOffice Manager · (901) 272-3200

Enumeration DateJune 24, 2008

✔ NPI 1558522367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1325 EASTMORELAND AVE STE 425, Memphis, TN 38104

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Other Identifiers 1

Other0040441TN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALLACE UROLOGY INC

Urology

1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104

Shelby County (901) 272-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles R. Wallace, Jr., MD's NPI number?

The NPI number for Charles R. Wallace, Jr., MD is 1558522367. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Charles R. Wallace, Jr., MD located?

Charles R. Wallace, Jr., MD is located at 1325 Eastmoreland Ave Ste 425, Memphis, TN 38104. The listed phone number is (901) 272-3200.

What is Charles R. Wallace, Jr., MD's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Charles R. Wallace, Jr., MD was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.