ANNA DAVENPORT SHEALY PRUITT

CHARLOTTE, NC
NPI1821689068
Former NameANNA DAVENPORT SHEALY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12215)
Enumeration Date2021-01-31
Last Update Date2025-05-21
Business Address
ANNA DAVENPORT SHEALY PRUITT PA-C
5821 FAIRVIEW RD STE 106
CHARLOTTE, NC 28209-3649
Phone number: 704-826-3550
Mailing Address
ANNA DAVENPORT SHEALY PRUITT PA-C
4705 UNIVERSITY DR BLDG 700
DURHAM, NC 27707-3489
Phone number: 484-900-1317
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