DR. Shana Dale Wallace MD

  • NPI 1013040666
According to our database, the NPI number for DR. Shana Dale Wallace MD is 1013040666 and activated since 17 years ago. DR. Shana Dale Wallace MD is an individual provider who specializes in Neurodevelopmental Disabilities, and the primary practice location is 1900 Randolph Rd, Charlotte, NC 28207. You can also contact DR. Shana Dale Wallace MD via telephone number is (704) 384-1390. Provider NPI information was last updated on 10/25/2020.

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Overview of DR. Shana Dale Wallace MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/13/2007
  • Last updated: 10/25/2020

Primary Scrop of Practice

  • Taxonomy Code: 2080P0008X
  • Specialty: Neurodevelopmental Disabilities
  • License Number: 2004-01063
  • License State: NC

Provider Mailing Address

  • Address: Po Box 60447
    Charlotte, NC 28260
  • Phone: 704-384-1390
  • Fax: 704-384-1063

Provider Practice Location

  • Address: 1900 Randolph Rd
    Suite 1010
    Charlotte, NC 28207
  • Phone: 704-384-1390
  • Fax: 704-384-1063

Scope of Practice

  • Taxonomy Code: 2080P0008X
  • Specialty: Neurodevelopmental Disabilities
  • License Number: 2004-01063
  • License State: NC
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 200401063
  • Identifier Type: Other
  • Identifier State: NC
  • Issuer: MEDICAL LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Shana Dale Wallace MD?
  • A: The npi number for DR. Shana Dale Wallace MD is 1013040666.
  • Q: What are DR. Shana Dale Wallace MD's specialties?
  • A: DR. Shana Dale Wallace MD's specialties are Neurodevelopmental Disabilities and different specialities.
  • Q: What is the medical license for DR. Shana Dale Wallace MD?
  • A: The medical license number for DR. Shana Dale Wallace MD is 2004-01063 and issued in NC in USA.
  • Q: Where is DR. Shana Dale Wallace MD practice location?
  • A: DR. Shana Dale Wallace MD is practicing at 1900 Randolph Rd, Charlotte, NC 28207.
  • Q: How to contact DR. Shana Dale Wallace MD?
  • A: You can contact DR. Shana Dale Wallace MD via 704-384-1390.