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Individual
SCOTT CHRISTOPHER GANUCHEAU
Active
Individual
SCOTT CHRISTOPHER GANUCHEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPAS, PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
661
SC
363A00000X
Physician Assistant
Primary
0010-12026
NC
363A00000X
Physician Assistant
—
NC
Other
Enumeration date
07/17/2014
Last updated
01/16/2025
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