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

Charlotte Wallace, MD

Individual provider General Practice Physician · NPI 1831540178

Charlotte Wallace, MD is a Diagnostic Radiology in Charleston, South Carolina. Qualified in 2016, 10 years ago. Practices with Smi Imaging LLC, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

96 Jonathan Lucas St
Charleston, SC 29425-6672
Phone: (843) 792-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 39581 (SC)
General Practice Physician Taxonomy 208D00000X · Licence LL39581 (SC)

Record details

NPI number1831540178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Smi Imaging Llc — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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