Provider Demographics
NPI:1578802039
Name:MURRAY, AMANDA F (PA-C)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:F
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 CEDAR POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:CEDAR POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28584-8008
Mailing Address - Country:US
Mailing Address - Phone:252-393-6374
Mailing Address - Fax:252-726-9172
Practice Address - Street 1:540 CEDAR POINT BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR POINT
Practice Address - State:NC
Practice Address - Zip Code:28584-8008
Practice Address - Country:US
Practice Address - Phone:252-393-6374
Practice Address - Fax:252-726-9172
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-04062363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant