Search › North Carolina › 363A00000X
Scott Ganucheau, MSPAS, PA-C, ATC
NPI 1215344619 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5145 Sellers Rd
Shallotte, NC 28470 - Phone
- (910) 754-4441
- Fax
- (910) 754-5307
- Organisation at this address
- Novant Medical Group Inc
Oceanside Family Medicine
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2255A2300X
363A00000X - Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina