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

Terry W Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1356335285

Terry W Wallace, MD is a Diagnostic Radiology Physician in Charlotte, North Carolina. Works from 2 locations. Licensed in Arkansas, Florida, Georgia and Kentucky and 7 more.

Licensed in
AR, FL, GA, KY, MO, MS
In the registry since
2005
Specialties on file
11
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone: (704) 334-7800
Fax: (704) 414-7512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 East Blvd, Charlotte, NC 28203-5823 — (704) 334-7800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 27411 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME118405 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 47635 (KY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 31321 (OK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence E-9305 (AR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101256330 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 20605 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 49734 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 23663 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 071427 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2015014396 (MO)

Record details

NPI number1356335285
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESDecember 20, 2017

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