Individual
DR. KAREN MELISSA DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1129 HALE RD, MEMPHIS, TN 38116-6373
(901) 396-0390
Mailing address
54 N ARCADIAN CIR, APT. #204, MEMPHIS, TN 38103-6911
(901) 238-4698
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48756
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528766
—
TN
Enumeration date
04/24/2009
Last updated
10/14/2014
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