Puckett Medical Clinic
NPI #1932476280 in Brandon, Mississippi
Provider Information
- NPI Number
- 1932476280
- Entity Type
- Organization
- Organization Name
- Puckett Medical Clinic
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Nov 30, 2011
- Last Updated
- Nov 30, 2011
Practice Location
- Address
- 6455 HIGHWAY 18
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-7536
- Phone
- (601) 824-9490
Authorized Official
- Name
- DEBRA DEVELIN, CFNP
- Title
- OWNER
- Phone
- (601) 824-9490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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