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Dr. Timothy Puckett, DC
Chiropractor in York, South Carolina
NPI 1144220013

Timothy Puckett is a Chiropractor based in York, SC. Timothy Puckett practices in York, SC and has the professional credentials of DC. The NPI Number for Timothy Puckett is 1144220013 and holds a License No. 1366 (South Carolina).

The current practice location address for Timothy Puckett is 809 E Liberty St, York, SC and can be reached out via phone at 803-684-5504 and via fax at 803-684-5496.

Location: 809 E Liberty St, York, SC, 29745-0297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144220013
Provider Name
Timothy Puckett
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
809 E Liberty St, York, SC, 29745-0297
Phone Number
803-684-5504
Fax Number
803-684-5496
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386799898 01 SC MEDICARE GROUP NPI
SC1366 05 SC
institution
Provider Business Practice Location Address Details
Address
809 E Liberty St
City
York
State
South Carolina
Zip
29745-1661
Phone Number
803-684-5504
Fax Number
803-684-5496
person
Provider Business Mailing Address Details
Address
809 E Liberty St
City
York
State
South Carolina
Zip
29745-1661
Phone Number
803-684-5504
Fax Number
803-684-5496
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1366 (South Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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