Individual provider · Type 1 NPI

Anna Lillian Hallock, PA-C

Physician Assistant · Charlotte, NC

NPI number 1407545890 Active

Practice location

4741 Randolph Rd Ste 100&200
Charlotte, NC 28211-2919

Fax (704) 365-6731

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 211 E Wilson St, Wingate, NC 28174-9664 · (704) 233-8000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-14039 (NC)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407545890

Anna Lillian Hallock, PA-C's National Provider Identifier is 1407545890, issued on May 2, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 11, 2025.