Puckett Med Van LLC
NPI #1487080149 in East Ridge, Tennessee
Provider Information
- NPI Number
- 1487080149
- Entity Type
- Organization
- Organization Name
- Puckett Med Van LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Sep 25, 2013
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 5603 RINGGOLD ROAD
- City
- East Ridge
- State
- Tennessee
- ZIP Code
- 37412
- Phone
- (423) 894-4407
Authorized Official
- Name
- ROBERT A JEWELL
- Title
- CHIEF REVENUE INTEGRATION OFFICER
- Phone
- (844) 597-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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