Individual
MICAH DEBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SKYLAND INN DR, ARDEN, NC 28704-7714
(828) 654-5001
(828) 654-5004
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 654-5001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL87560
SC
Other
Enumeration date
03/30/2022
Last updated
07/21/2025
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