Individual
AMANDA CIERRA MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1090 E CENTRAL AVE, RAEFORD, NC 28376-3039
(910) 875-4545
(910) 875-8972
Mailing address
1090 E CENTRAL AVE, RAEFORD, NC 28376-3039
(910) 875-4545
(910) 875-8972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06953
NC
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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