Reaves, Amy Stanton

Reaves, Amy Stanton is an individual health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406-9171. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Reaves, Amy Stanton can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-5050
Fax: (843) 797-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1285 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1285 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1285 South Carolina

Profile Details

NPI number 1447435615
LBN Legal business name Reaves, Amy Stanton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Jul 5th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447435615 NPPES
South Carolina Other 13347593 MULTIPLAN PROVIDER NO.
South Carolina Other P01337502 MULTIPLAN PROVIDER NO.
South Carolina MEDICAID 0631PA MULTIPLAN PROVIDER NO.
South Carolina Other D043 MULTIPLAN PROVIDER NO.
South Carolina Other 1902246077 MULTIPLAN PROVIDER NO.
South Carolina Other 983747 MULTIPLAN PROVIDER NO.
South Carolina Other DU4331 MULTIPLAN PROVIDER NO.
South Carolina Other 2864256 MULTIPLAN PROVIDER NO.
South Carolina Other 45168 MULTIPLAN PROVIDER NO.
South Carolina Other 4920537 MULTIPLAN PROVIDER NO.
South Carolina Other GP6337 MULTIPLAN PROVIDER NO.

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