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Contact Information

AMANDA B BENNETT, PA-C
8004 MYRTLE TRACE DR STE 200
CONWAY, SC29526-8945
 Phone: 843-347-8041
 Fax: 843-347-8042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA B BENNETT · (Female)

NPI # 1376908657
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/30/2015
Last updated 09/04/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 5901
  • SC Medicaid 8123PA
Hospital affiliation(s)
  • NEWTON-WELLESLEY HOSPITAL - (Acute Care)
    2014 WASHINGTON STREET
    NEWTON, MA 02462
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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