Wallace, Charlotte

Wallace, Charlotte is an individual health care provider with primary practice located at 96 Jonathan Lucas St , Charleston SC 29425-6672. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Wallace, Charlotte can be contacted via phone (843) 792-2300.

Contact Information

Primary practice address
96 Jonathan Lucas St Charleston SC 29425-6672
Phone: (843) 792-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X LL39581 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39581 South Carolina

Profile Details

NPI number 1831540178
LBN Legal business name Wallace, Charlotte
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Apr 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers