Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda F. Pruitt, PA-C

Individual provider Physician Assistant · NPI 1689626012

Amanda F. Pruitt, PA-C is a Physician Assistant in Greenville, South Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2006.

Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

905 Verdae Blvd Ste 101
Greenville, SC 29607-4097
Phone: (864) 286-7550
Fax: (864) 286-7551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1305 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 103755 (NC)

Record details

NPI number1689626012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021

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