Amaya, Sally Gantt

Amaya, Sally Gantt is an individual health care provider with primary practice located at 28490 2Nd St Ste B , Daphne AL 36526-7150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amaya, Sally Gantt can be contacted via phone (251) 308-9800.

Contact Information

Primary practice address
28490 2Nd St Ste B Daphne AL 36526-7150
Phone: (251) 308-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1550 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1550 Alabama

Profile Details

NPI number 1568091379
LBN Legal business name Amaya, Sally Gantt
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2020
Last updated Jan 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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