Individual
DAMIEN HUCKLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-9703
Mailing address
8910 OVERLAY CT, CHARLOTTE, NC 28216-7902
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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