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

Wallace Plastic Surgery Group, PLLC

Organization Plastic Surgery Physician · NPI 1497473557

Wallace Plastic Surgery Group, PLLC is a Plastic Surgery Physician in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Brookfield Rd Ste 100
Memphis, TN 38119-0853
Phone: (901) 779-6538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1497473557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Wallace — Owner · (901) 779-6538
NPI enumeratedAugust 16, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address1065 Tides Ridge Cv, Memphis, TN 38120-2625

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