Individual provider · Type 1 NPI

Brett Daniel Puckett, PA-C, MMSC, ATC

Physician Assistant · Lawrenceville, GA

NPI number 1265830152 Active

Practice location

771 Old Norcross Rd Ste 390
Lawrenceville, GA 30046-4324

Call (678) 957-0757 Map

Fax (678) 957-9597

Mailing address

900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X36002274A (IN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X10254 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265830152

Brett Daniel Puckett, PA-C, MMSC, ATC's National Provider Identifier is 1265830152, issued on Dec 9, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 15, 2022.