Neurologist

Dr. Shana Dale Wallace, MD

1900 Randolph Rd, Suite 1010, Charlotte, North Carolina, 28207-1122

About Dr. Shana Dale Wallace

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 reach her at 704-384-1390 or can fax her at 704-384-1063. Dr. Shana Dale Wallace is MD 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 speciality, 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
Fax 704-384-1063

Professional Identification Codes

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care 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 specialities 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 legacy medical 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 on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

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.

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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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.