Individual provider · Type 1 NPI

Amanda Blanche Bennett, PA-C

Surgical Physician Assistant · Conway, SC

NPI number 1376908657 Active

Practice location

8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945

Fax (843) 347-8042

Mailing address

300 Singleton Ridge Rd
Conway, SC 29526-9142

Other practice locations

  • 1100 62nd Ave N, Myrtle Beach, SC 29572-7202 · (843) 347-8041
  • 6010 Highway 707 Ste 300, Myrtle Beach, SC 29588-7321 · (843) 347-8041

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5901 (SC)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1376908657

Amanda Blanche Bennett, PA-C's National Provider Identifier is 1376908657, issued on Dec 30, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Conway, SC. The record was last updated on Sep 4, 2025.