Individual provider · Type 1 NPI

Thomas Childs Puckette

Body Imaging Physician · Mount Pleasant, SC

NPI number 1356350144 Active

Practice location

1241 Woodland Avenue
Mount Pleasant, SC 29464

Call (843) 824-0606 Map

Fax (843) 824-0909

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician Primary 2085B0100XME17812 (SC)
Nuclear Radiology Physician 2085N0904XME17812 (SC)
Pediatric Radiology Physician 2085P0229XME17812 (SC)
Diagnostic Radiology Physician 2085R0202XME17812 (SC)
Vascular & Interventional Radiology Physician 2085R0204XME17812 (SC)
Diagnostic Ultrasound Physician 2085U0001XME17812 (SC)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1356350144

Thomas Childs Puckette's National Provider Identifier is 1356350144, issued on Aug 8, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jun 26, 2008.