Most Relevant Information
Provider Data
| NPI Number: | 1003314121 |
| Provider Name: | AMY LYNN CANINO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2018 |
| Last Updated: | 01/25/2022 |
Provider Practice Location
316 CALHOUN ST
CHARLESTON
SC
294011113
Practice Location Phone/Fax
| Phone: | 8434021638 |
| Fax: | 8437242455 |
Provider Mailing Location
PO BOX 751649
CHARLOTTE
NC
282751649
Provider Mailing Phone/Fax
| Phone: | 8437891620 |
| Fax: | 8437242440 |