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

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1528676665

Amanda Ray Henderson, PA-C is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Charleston, South Carolina. Licensed in Pennsylvania and South Carolina. Registered with an NPI since 2020.

Licensed in
PA, SC
In the registry since
2020
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

25 Courtenay Dr
Charleston, SC 29425-0100
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 5440 (SC)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence MA063252 (PA)

Record details

NPI number1528676665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

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