Individual
DR. SHAWN MICHAEL WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1818 DAVIE AVE, STATESVILLE, NC 28677-3524
(704) 873-1036
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-02112
NC
207R00000X
Internal Medicine Physician
34.012198
OH
208M00000X
Hospitalist Physician
2018-02112
NC
Other
Enumeration date
04/28/2011
Last updated
12/14/2022
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