Arica Skylar Gandy
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Latta, SC
NPI 1376438465 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1376438465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 257 Hattie LN
Latta, SC 29565-4160 - Phone
- (843) 845-2316
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
257 Hattie LN
Latta, SC 29565-4160
Mailing address
257 Hattie LN
Latta, SC 29565-4160
Phone (843) 845-2316
Other providers in Latta, SC
- Angela Drawhiorn
- Clarissa M Drawhorn
- Laurie M Dwyer
- James Bernard Fleming
- Denise Marie Gallant
- Gentle Path Solutions LLC
- Carmilla Griffin
- Miranda Hamilton
- Mary Hargrove
- Healing Mentors for Christ Inc.
All providers in Latta, SC · Student in an Organized Health Care Education/Training Program in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.