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“Pediatric Neurodevelopmental Disabilities Physician” (Charlotte, NC)

Location: Charlotte, NC
Taxonomy: Pediatric Neurodevelopmental Disabilities Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1013040666 — DR. SHANA DALE WALLACE MD
Practice Location Address:
1900 RANDOLPH RD SUITE 1010
CHARLOTTE NC
28207-1122
Practice Phone: 704-384-1390
1366409492 — NOVANT HEALTH MEDICAL GROUP, LLC
Practice Location Address:
1900 RANDOLPH RD STE 1010
CHARLOTTE NC
28207-1117
Practice Phone: 704-384-1390
1699816017 — DR. LIYA BEYDERMAN MD
Practice Location Address:
6115 PARK SOUTH DR STE 105
CHARLOTTE NC
28210-0104
Practice Phone: 704-981-6800

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