TERRY W WALLACE

CHARLOTTE, NC
NPI1356335285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  27411)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME118405)
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY  47635)
2085R0202X Radiology, Diagnostic Radiology
(Licence: OK  31321)
2085R0202X Radiology, Diagnostic Radiology
(Licence: AR  E-9305)
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101256330)
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  20605)
2085R0202X Radiology, Diagnostic Radiology
(Licence: TN  49734)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MS  23663)
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  071427)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2015014396)
Enumeration Date2005-09-07
Last Update Date2017-12-20
Business Address
TERRY W WALLACE M.D.
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 28202-2742
Phone number: 704-334-7800
Mailing Address
TERRY W WALLACE M.D.
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 28202-2742
Phone number: 704-334-7800