Shellyann Wall in Charlotte - Physician Assistant
Shellyann Wall - NPI 1235157488
Shellyann Wall is a Physician Assistant in Charlotte, North Carolina. Shellyann Wall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shellyann Wall is 1235157488. The last update date is 2016-12-08.
Shellyann Wall's current location address is 10648 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7046678050. The mailing address for Shellyann Wall is 10648 Park Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shellyann Wall |
|---|---|
| Address | 10648 Park Rd, Charlotte, North Carolina |
| Phone Number | 7046678050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1235157488 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2016-12-08 |
Provider Mailing Address Detail
| Address | 10648 Park Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282108407 |
| Phone Number | 7046678050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103723 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1235157488 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shellyann Wall by the Centers for Medicare & Medicaid Services?
The Shellyann Wall has been issued the NPI (National Provider Identifier) 1235157488, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shellyann Wall is geographically located?
The Shellyann Wall is physically situated at the following location: 10648 Park Rd, Charlotte, NC, 282108407.
What is Shellyann Wall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shellyann Wall is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Shellyann Wall receive the assignment of its 1235157488 from the Centers for Medicare & Medicaid Services?
The Shellyann Wall was issued its 1235157488 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the Shellyann Wall's details last updated?
The information pertaining to the Shellyann Wall, including its address, specialty, and other details, was most recently updated on 2016-12-08.