Individual
TERRY W WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101256330
VA
2085R0202X
Diagnostic Radiology Physician
071427
GA
2085R0202X
Diagnostic Radiology Physician
2015014396
MO
2085R0202X
Diagnostic Radiology Physician
20605
SC
2085R0202X
Diagnostic Radiology Physician
23663
MS
2085R0202X
Diagnostic Radiology Physician
Primary
27411
NC
2085R0202X
Diagnostic Radiology Physician
31321
OK
2085R0202X
Diagnostic Radiology Physician
47635
KY
2085R0202X
Diagnostic Radiology Physician
49734
TN
2085R0202X
Diagnostic Radiology Physician
E-9305
AR
2085R0202X
Diagnostic Radiology Physician
ME118405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985523
—
NC
Enumeration date
09/07/2005
Last updated
12/20/2017
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