Provider Demographics
NPI:1801774575
Name:DEAL, AMANDA FRANCIS
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:FRANCIS
Last Name:DEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:GA
Mailing Address - Zip Code:30728-2189
Mailing Address - Country:US
Mailing Address - Phone:423-488-5350
Mailing Address - Fax:
Practice Address - Street 1:2944 STRAIGHT GUT RD
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:GA
Practice Address - Zip Code:30728-6731
Practice Address - Country:US
Practice Address - Phone:706-764-2378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant