Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R. Wallace, Jr , MD

Organization Urology Physician · NPI 1558522367

Charles R. Wallace, Jr , MD is an Urology Physician in Memphis, Tennessee. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1325 Eastmoreland Ave Ste 425
Memphis, TN 38104-7541
Phone: (901) 272-3200
Fax: (901) 278-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1558522367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Wallace — Office Manager · (901) 272-3200
NPI enumeratedJune 24, 2008
Last updated in NPPESJune 24, 2008
Mailing address1325 Eastmoreland Ave Ste 425, Memphis, TN 38104-7541

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