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Next Update: Friday, September 27, 2024 2:50 AM 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 |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599 |
Graduated: |
5 /
1982 |
CME Year: |
2021 |
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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 |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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