SCOTT GANUCHEAU, MSPAS, PA-C, ATC
Physician Assistant
Active
Individual
NPI: 1215344619
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | 661 (SC) |
| Physician Assistant | 363A00000X | Yes | 0010-12026 (NC) |
Frequently Asked Questions
NPI 1215344619 is the National Provider Identifier for SCOTT GANUCHEAU, MSPAS, PA-C, ATC, a Physician Assistant provider located in Shallotte, NC. This NPI was enumerated on July 17, 2014.
SCOTT GANUCHEAU, MSPAS, PA-C, ATC practices at 5145 SELLERS RD, Shallotte, NC 28470.
Quick Facts
- NPI
- 1215344619
- Type
- Individual
- Enumerated
- Jul 17, 2014
- Last Updated
- Jan 16, 2025
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