Individual
AMANDA DALE-SHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
2007-00714
NC
Other
Enumeration date
08/16/2006
Last updated
02/12/2019
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