1013040666 Dr. Shana Dale Wallace, MD
Neurology with Special Qualifications in Child Neurology Physician
Active
Basic Information
- Full Name
- Dr. Shana Dale Wallace, MD
- Gender
- Female
- Enumeration Date
- March 13, 2007
- Last Update
- October 25, 2020
Practice Location
- Address
- 1900 RANDOLPH RD
SUITE 1010
CHARLOTTE, NC 282071122 - Phone
- (704) 384-1390
- Fax
- (704) 384-1063
Mailing Address
- Address
- PO BOX 60447
CHARLOTTE, NC 282600447 - Phone
- (704) 384-1390
- Fax
- (704) 384-1063
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician Neurodevelopmental Disabilities | 2080P0008X | Pediatrics | 2004-01063 | NC | No |
| Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | 2084N0402X | Psychiatry & Neurology | 200401063 | NC | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907566 | 05 | NC | N/A |
| 200401063 | 01 | NC | MEDICAL LICENSE |
Digital Endpoints
DIRECT
swallace15255@direct.novanthealth.org
Frequently Asked Questions
What is Dr. Shana Dale Wallace, MD's NPI number?
Dr. Shana Dale Wallace, MD's NPI number is 1013040666.
Which doctor has NPI number 1013040666?
The doctor with NPI number 1013040666 is Dr. Shana Dale Wallace, MD.
What is Dr. Shana Dale Wallace, MD's practice address?
Dr. Shana Dale Wallace, MD's practice address is 1900 RANDOLPH RD, SUITE 1010, CHARLOTTE, NC, 282071122.
Which doctor practices at 1900 RANDOLPH RD, SUITE 1010, CHARLOTTE, NC, 282071122?
Dr. Shana Dale Wallace, MD practices at 1900 RANDOLPH RD, SUITE 1010, CHARLOTTE, NC, 282071122.
What is Dr. Shana Dale Wallace, MD's mailing address?
Dr. Shana Dale Wallace, MD's mailing address is PO BOX 60447, CHARLOTTE, NC, 282600447.
What is Dr. Shana Dale Wallace, MD's phone number?
Dr. Shana Dale Wallace, MD's phone number is (704) 384-1390.
Who is (704) 384-1390?
(704) 384-1390 is the phone number for Dr. Shana Dale Wallace, MD.
What is Dr. Shana Dale Wallace, MD's specialty?
Dr. Shana Dale Wallace, MD's specialty is Neurology with Special Qualifications in Child Neurology Physician.
What type of doctor is Dr. Shana Dale Wallace, MD?
Dr. Shana Dale Wallace, MD is a Neurology with Special Qualifications in Child Neurology Physician.
Is Dr. Shana Dale Wallace, MD a Neurology with Special Qualifications in Child Neurology?
Yes, Dr. Shana Dale Wallace, MD is a Neurology with Special Qualifications in Child Neurology.
Is Dr. Shana Dale Wallace, MD still practicing?
Yes, Dr. Shana Dale Wallace, MD is currently practicing.
Is Dr. Shana Dale Wallace, MD accepting new patients?
Dr. Shana Dale Wallace, MD may be accepting new patients. Please call their office at (704) 384-1390 to inquire about availability.
Is NPI 1013040666 still active?
Yes, NPI 1013040666 is currently active.
Where does Dr. Shana Dale Wallace, MD practice?
Dr. Shana Dale Wallace, MD practices in CHARLOTTE, NC.
Is Dr. Shana Dale Wallace, MD a male or female doctor?
Dr. Shana Dale Wallace, MD is a female doctor.