Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anya Wallace, PA-C

Individual provider Physician Assistant · NPI 1609264373

Anya Wallace, PA-C is a Physician Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

309 S Sharon Amity Rd Ste 206
Charlotte, NC 28211
Phone: (704) 360-5018
Fax: (980) 273-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-05473 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-05473 (NC)

Record details

NPI number1609264373
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

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