Individual
ANNA SCHLICHER WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8901 UNIVERSITY BLVD, N CHARLESTON, SC 29406-9116
(843) 203-2245
(843) 203-2244
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-04069
NC
363AM0700X
Medical Physician Assistant
Primary
2394
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490PA
—
SC
05
—
8103158
—
NC
Enumeration date
02/20/2013
Last updated
01/28/2021
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