Shana Dale Wallace in Charlotte - Neurology With Special Qualifications In Child Neurology
Shana Dale Wallace - NPI 1013040666
Shana Dale Wallace is a Neurology With Special Qualifications In Child Neurology in Charlotte, North Carolina. Shana Dale Wallace practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Shana Dale Wallace is 1013040666. The last update date is 2020-10-25.
Shana Dale Wallace's current location address is Po Box 60447, Charlotte, North Carolina. You can contact this provider via phone number 7043841390 and fax number 7043841063. The mailing address for Shana Dale Wallace is Po Box 60447, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shana Dale Wallace |
|---|---|
| Address | Po Box 60447, Charlotte, North Carolina |
| Phone Number | 7043841390 |
| Fax Number | 7043841063 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013040666 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-10-25 |
Provider Mailing Address Detail
| Address | Po Box 60447 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282600447 |
| Phone Number | 7043841390 |
| Fax Number | 7043841063 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 200401063 |
|
Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5907566 | NC | -- | |
| 200401063 | NC | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shana Dale Wallace by the Centers for Medicare & Medicaid Services?
The Shana Dale Wallace has been issued the NPI (National Provider Identifier) 1013040666 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shana Dale Wallace's physical address?
The Shana Dale Wallace is physically located at Po Box 60447, in the city of Charlotte, NC, with the postal code 282600447.
What is Shana Dale Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shana Dale Wallace's specialized field of practice is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0402X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013040666 to Shana Dale Wallace?
The Centers for Medicare & Medicaid Services assigned the 1013040666 to Shana Dale Wallace on 2007-03-13.
As of what date was the information regarding Shana Dale Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shana Dale Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-25.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY