IndividualActive
Anna Wyatt, PA-C
NPI 1790025245 · Medical Physician Assistant · N Charleston, SC
Provider details
- NPI number
- 1790025245
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-04069 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8901 University Blvd
N Charleston, SC 29406-9116
Phone: (843) 203-2245
Fax: (843) 203-2244
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751649
Charlotte, NC 28275-1649
Registry dates
- Enumerated
- 2013-02-20
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.