IndividualActive
Amanda Bennett, PA-C
NPI 1376908657 · Surgical Physician Assistant · Conway, SC
Provider details
- NPI number
- 1376908657
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5901 (SC)
Practice location
8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945
Phone: (843) 347-8041
Fax: (843) 347-8042
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.