Individual
ZACHARIAH C DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-2241
(434) 924-5149
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101047276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007109342
—
VA
Enumeration date
11/07/2006
Last updated
07/30/2021
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