Provider Demographics
NPI:1043734296
Name:NEILL, PARKER ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:ANDREW
Last Name:NEILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 NW CARY PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8432
Mailing Address - Country:US
Mailing Address - Phone:919-460-6098
Mailing Address - Fax:919-460-6099
Practice Address - Street 1:3750 NW CARY PKWY STE 105
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8432
Practice Address - Country:US
Practice Address - Phone:919-460-6098
Practice Address - Fax:919-460-6099
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor