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Next Update: Sunday, April 28, 2024 12:00 PM CDT
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WALLACE, TERRY WAYNE 
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| Practice Address: |
CHARLOTTE RADIOLOGY PA
700 E MOREHEAD ST
SUITE 300
CHARLOTTE NC 28202
Address last updated on 4/25/2019 |
| Phone #: |
(704) 362-7071 |
| Fax #: |
(704) 414-7512 |
| County: |
NOT OKLAHOMA |
| License: |
31321 |
| Dated: |
5/14/2015 |
| Expires: |
1/30/2021 |
|
Temp.
Lic.
Issued:
|
4/29/2015 |
|
Temp.
Lic.
Expires:
|
6/26/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599 |
| Graduated: |
5 /
1982 |
| CME Year: |
2021 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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