Keith C Damico Pa C Professional Association

NPI 1013088954 - Physician Assistant - 363AM0700X

NPI Details
NPI 1013088954
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEITH C KEITH
Position PRESIDENT
Phone (828) 652-3033
Fax (828) 766-2849
Practice Location
5235 NC 226 S
MARION NC, 28752-8733, US
Phone (828) 652-3033
Fax (828) 766-2849
Business Location
PO BOX 448
CROSSNORE NC, 28616-0448, US
Phone (828) 766-7278
Fax (828) 766-2849
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 102719
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According to our database, Keith C Damico Pa C Professional Association NPI is 1013088954, taxonomy code is 363AM0700X and license number is 102719, license state is located at North Carolina. Keith C Damico Pa C Professional Association physically located at 5235 Nc 226 S, Marion NC, 28752-8733. NPI Number 1033115704 has the healthcare provider type.

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1013088954 NPI number is provided on an as is basis without warranty of any kind. 1013088954 is maintained by the National Plan & Provider Enumeration System. The contents of Keith C Damico Pa C Professional Association are for informational purposes only.