Individual
AMANDA AYDELETTE FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
919 JR HIGH SCHOOL RD, SCOTLAND NECK, NC 27874-1219
(252) 826-3143
(252) 826-3110
Mailing address
1983 SINGLETREE LN, ROCKY MOUNT, NC 27804-7943
(252) 801-6001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06648
NC
Other
Enumeration date
04/05/2015
Last updated
10/01/2020
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