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Denisa Savannah Puckett, MD
Student in an Organized Health Care Education/Training Program in Boone, North Carolina
NPI 1508569401

Denisa Savannah Puckett is a Student in an Organized Health Care Education/Training Program based in Boone, NC. Denisa Savannah Puckett practices in Boone, NC and has the professional credentials of MD. The NPI Number for Denisa Savannah Puckett is 1508569401 and holds a License No. (North Carolina).

The current practice location address for Denisa Savannah Puckett is 148 Nc-105 Extension, Suite 102, Boone, NC and can be reached out via phone at 828-262-4100.

Location: 148 Nc-105 Extension, Suite 102, Boone, NC, 26807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508569401
Provider Name
Denisa Savannah Puckett
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
148 Nc-105 Extension, Suite 102, Boone, NC, 26807
Phone Number
828-262-4100
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
148 Nc-105 Extension, Suite 102
City
Boone
State
North Carolina
Zip
26807
Phone Number
828-262-4100
Fax Number
person
Provider Business Mailing Address Details
Address
148 Nc-105 Extension, Suite 102
City
Boone
State
North Carolina
Zip
26807
Phone Number
828-262-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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