Individual
ANNA DAVENPORT SHEALY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5821 FAIRVIEW RD STE 106, CHARLOTTE, NC 28209-3649
(704) 826-3550
(704) 538-4135
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(484) 900-1317
(866) 538-4716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12215
NC
Other
Enumeration date
01/31/2021
Last updated
05/21/2025
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