Organization · Type 2 NPI
Puckett Medical Clinic
Health Service Clinic/Center · Brandon, MS
NPI number
1932476280
Active
Practice location
6455 Highway 18
Brandon, MS 39042-7536
Fax (601) 824-9533
Mailing address
PO Box 366
Puckett, MS 39151-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | R633283 (MS) |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
Other health service clinic/center providers in Brandon
About NPI 1932476280
Puckett Medical Clinic's National Provider Identifier is 1932476280, issued on Nov 30, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Brandon, MS. The record was last updated on Nov 30, 2011.