Organization
KEITH C DAMICO PA C PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH C DAMICO PA (PRESIDENT)
(828) 766-7278
Entity
Organization
Contact information
Practice address
5235 NC 226 S, MARION, NC 28752-8733
(828) 652-3033
(828) 766-2849
Mailing address
PO BOX 448, CROSSNORE, NC 28616-0448
(828) 766-7278
(828) 766-2849
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102719
NC
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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