Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT CHRISTOPHER GANUCHEAU, MSPAS, PA-C, ATC
Active Sole ProprietorSCOTT CHRISTOPHER GANUCHEAU, MSPAS, PA-C, ATC is a Physician Assistant healthcare provider located in SHALLOTTE, North Carolina. NPI 1215344619 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHALLOTTE, NC
Registration Details
- NPI Number
- 1215344619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2014 (11.896583986013 yrs)
- Last Updated
- Jan 16, 2025
- Licenses
-
661 (SC)0010-12026 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5145 SELLERS RDSHALLOTTE, NC, 284703405Browse NC providers · Browse ZIP 28470
- Phone
- 9107544441
- Fax
- 9107545307
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SHALLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MISS KELLY COLLIER | PA | 1700886595 |
| MS. DOROTHY TRUAX | P.A. | 1265495071 |
| CHARLES F BAY | PA | 1669404059 |
| ROCKY CAROL QUILLEN | PA | 1518079961 |
| JOHN A BLAKE | PA-C | 1780726570 |
| TIFFANY LEWIS SCHEIB | P.A. | 1487960597 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.