ANNA DAVENPORT SHEALY PRUITT

CHARLOTTE, NC
NPI1821689068
Former NameANNA DAVENPORT SHEALY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-01-31
Last Update Date2024-05-06
Business Address
ANNA DAVENPORT SHEALY PRUITT PA-C
5970 FAIRVIEW RD STE 430
CHARLOTTE, NC 28210-3117
Phone number: 704-503-9884
Mailing Address
ANNA DAVENPORT SHEALY PRUITT PA-C
5970 FAIRVIEW RD STE 430
CHARLOTTE, NC 28210-3117
Phone number:
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