SearchNorth CarolinaNeurology with Special Qualifications in Child Neurology Physician

Shana Wallace, MD

NPI 1013040666 · on the registry since 2007

Practice

Address
1900 Randolph Rd
Suite 1010
Charlotte, NC 28207
Phone
(704) 384-1390
Fax
(704) 384-1063
Organisation at this address
Metroview Pharmacy Inc
Novant Medical Group Inc
Z-Core Chiropractic, Pllc
Novant Medical Group, Inc.
Novant Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
Neurology with Special Qualifications in Child Neurology Physician
2084N0402X
Also registered as
Pediatric Neurodevelopmental Disabilities Physician
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina