person
Russell Prentice Puckett, MD
Student in an Organized Health Care Education/Training Program in Marietta, Georgia
NPI 1225723505

Russell Prentice Puckett is a Student in an Organized Health Care Education/Training Program based in Gainesville, GA. Russell Prentice Puckett practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Russell Prentice Puckett is 1225723505 and holds a License No. (Georgia).

The current practice location address for Russell Prentice Puckett is 677 Church St Ne, Marietta, GA and can be reached out via phone at 770-793-5000.

Location: 677 Church St Ne, Marietta, GA, 30501-2271
person
Provider Profile Details
NPI Number
1225723505
Provider Name
Russell Prentice Puckett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
677 Church St Ne, Marietta, GA, 30501-2271
Phone Number
770-793-5000
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
770-793-5000
Fax Number
person
Provider Business Mailing Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
770-793-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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