Individual provider · Type 1 NPI

Scott Christopher Ganucheau, MSPAS, PA-C, ATC

Physician Assistant · Shallotte, NC

NPI number 1215344619 Active

Practice location

5145 Sellers Rd
Shallotte, NC 28470-3405

Call (910) 754-4441 Map

Fax (910) 754-5307

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X661 (SC)
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X0010-12026 (NC)

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 1215344619

Scott Christopher Ganucheau, MSPAS, PA-C, ATC's National Provider Identifier is 1215344619, issued on Jul 17, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shallotte, NC. The record was last updated on Jan 16, 2025.