Provider Demographics
NPI:1053373654
Name:NEAL, DEMAR AUSTIN (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:DEMAR
Middle Name:AUSTIN
Last Name:NEAL
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:2555 COURT DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2134
Mailing Address - Country:US
Mailing Address - Phone:704-671-7652
Mailing Address - Fax:704-671-7656
Practice Address - Street 1:2555 COURT DR
Practice Address - Street 2:SUITE 450
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2134
Practice Address - Country:US
Practice Address - Phone:704-671-7652
Practice Address - Fax:704-671-7656
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2011-10-28
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Provider Licenses
StateLicense IDTaxonomies
NC272652086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8962671Medicaid
NCC86497Medicare UPIN
NC8962671Medicaid