Provider Demographics
NPI:1669660312
Name:NEAL, AMANDA CARPENTER (MHS, PA-C)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:CARPENTER
Last Name:NEAL
Suffix:
Gender:F
Credentials:MHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10012 BAILEYWICK RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6202
Mailing Address - Country:US
Mailing Address - Phone:919-302-1742
Mailing Address - Fax:
Practice Address - Street 1:7021 HARPS MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3240
Practice Address - Country:US
Practice Address - Phone:919-845-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01059363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant