Dr. Shana Dale Wallace is a neurologist based in Charlotte, North Carolina who is specialized in Neurology. Active license number of Dr. Shana Dale Wallace is 200401063 for Child Neurology in North Carolina. Her current practice location is 1900 Randolph Rd, Suite 1010, Charlotte. Patients can contact her at 704-384-1390 or can fax her at 704-384-1063. Dr. Shana Dale Wallace, MD, specializes in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1013040666.
Dr. Shana Dale Wallace specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Practice Information
Dr. Shana Dale Wallace's specialty, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Provider Name Dr. Shana Dale Wallace
Specialization Neurology
Credentials MD
Gender Female
Practice Address: 1900 Randolph Rd, Suite 1010 Charlotte, NC - 28207-1122
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number1013040666
NPI Enumeration Date: 13 Mar, 2007
NPI Last Update On: 25 Oct, 2020
Medical Licenses:
Healthcare professionals can hold one or more medical licenses for different specialties in the same state or different states. Related medical licenses for Dr. Shana Dale Wallace are as mentioned below.
License NumberSpecializationStateStatus
200401063Child Neurology
North CarolinaPrimary
2004-01063Pediatrics
North CarolinaSecondary
Other Medical Identifiers
Other professional identifiers associated with Dr. Shana Dale Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
5907566MedicaidNorth Carolina
200401063OtherNorth CarolinaMEDICAL LICENSE
Mailing Address
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.
Dr. Shana Dale Wallace Po Box 60447, Charlotte, NC - 28260-0447 Phone: 704-384-1390 Fax: 704-384-1063
Book an Appointment with Dr. Shana Dale Wallace
To schedule an appointment, contact Dr. Shana Dale Wallace at 1900 Randolph Rd, Suite 1010, Charlotte, North Carolina or call the phone number listed below.
Below are some commonly asked questions about Dr. Shana Dale Wallace:
Dr. Shana Dale Wallace is a neurologist specializing in Child Neurology. She specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Yes, Dr. Shana Dale Wallace is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment. *Availability may change. Please contact the office directly to ask about appointments.
Dr. Shana Dale Wallace practices at 1900 Randolph Rd, Suite 1010, Charlotte, North Carolina, 28207-1122.
To schedule an appointment with Dr. Shana Dale Wallace, please contact the office at 704-384-1390.
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