Shana Dale Wallace is a Neurology with Special Qualifications in Child Neurology Physician based in Charlotte, NC and is specialized in Neurology with Special Qualifications in Child Neurology. Shana Dale Wallace practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Shana Dale Wallace is 1013040666 and holds a License No. 2004-01063 (North Carolina).
The current practice location address for Shana Dale Wallace is 1900 Randolph Rd, Charlotte, NC and can be reached out via phone at 704-384-1390 and via fax at 704-384-1063. You can also correspond with Shana Dale Wallace through the mailing address at PO BOX 60447, CHARLOTTE, NC - 28260-0447 (mailing address contact number: 704-384-1390).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907566 | 05 | NC | |
| 200401063 | 01 | NC | MEDICAL LICENSE |
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