IndividualActive
Charlotte Wallace, M.D.
NPI 1831540178 · Diagnostic Radiology Physician · Charleston, SC
Provider details
- NPI number
- 1831540178
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LL39581 (SC)
Practice location
96 Jonathan Lucas St
Charleston, SC 29425-6672
Phone: (843) 792-2300
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2022-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.