Individual
AMANDA LYNN GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
845 WILLIAM HILTON PKWY, HILTON HEAD, SC 29928-3404
(843) 321-2416
Mailing address
33 WATER TUPELO LN, BLUFFTON, SC 29910-7681
(607) 483-8550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA053995
PA
363AM0700X
Medical Physician Assistant
Primary
PA2684
SC
Other
Enumeration date
07/13/2010
Last updated
07/21/2022
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