| NPI | 1013088954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH C DAMICO President 828-766-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 102719) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |