Individual provider · Type 1 NPI

Charlotte Wallace, MD

Diagnostic Radiology Physician · Charleston, SC

NPI number 1831540178 Active

Practice location

96 Jonathan Lucas St
Charleston, SC 29425-6672

Call (843) 792-2300 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Other practice locations

  • 1210 W Faris Rd, Greenville, SC 29605-4444 · (864) 522-1800

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XLL39581 (SC)
Diagnostic Radiology Physician Primary 2085R0202X39581 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1831540178

Charlotte Wallace, MD's National Provider Identifier is 1831540178, issued on Jun 28, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charleston, SC. The record was last updated on Apr 26, 2022.