Individual
ANNA KATHRYN FADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
119 MARKET PLACE AVE, STE D, MOORESVILLE, NC 28117-8189
(704) 801-9140
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10787
NC
Other
Enumeration date
03/22/2021
Last updated
03/13/2025
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