Individual provider · Type 1 NPI
Daphne Dixon Puckett, MLT, MT
Medical Technologist · Shellman, GA
NPI number
1306164496
Active
Practice location
3652 Pearl St
Shellman, GA 39886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Technologist Primary | 246QM0706X | 80-0530 (GA) |
Medical Technologist: Definition to come...
About NPI 1306164496
Daphne Dixon Puckett, MLT, MT's National Provider Identifier is 1306164496, issued on May 13, 2010. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Shellman, GA. The record was last updated on May 13, 2010.