Individual
DAMIAN L. CAMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CREEKSTONE CT, GREENSBORO, NC 27407-5862
(336) 392-8093
Mailing address
10 CREEKSTONE CT, GREENSBORO, NC 27407-5862
(336) 392-8093
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/14/2021
Last updated
05/27/2021
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