Dr. Shana Dale Wallace, MD
Dr. Shana Dale Wallace, MD is a Neurology in Charlotte, North Carolina. Qualified in 2002, 24 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 24
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1900 Randolph Rd Ste 1010Charlotte, NC 28207-1122
Phone: (704) 384-1390
Fax: (704) 384-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology with Special Qualifications in Child Neurology Physician (primary) | Taxonomy 2084N0402X · Licence 200401063 (NC) |
|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | Taxonomy 2080P0008X · Licence 2004-01063 (NC) |
Record details
| NPI number | 1013040666 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | October 25, 2020 |
| Certification date | September 6, 2020 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Novant Health Medical Group, Llc — 2410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Charlotte
-
Dr. Liya Beyderman, MD
6115 Park South Dr Ste 105, Charlotte, NC 28210-0104 · (704) 981-6800
-
Novant Health Medical Group, LLC
1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 · (704) 384-1390