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Puckett Medical Clinic
Health Service Clinic/Center in Brandon, Mississippi
NPI 1932476280

Puckett Medical Clinic is a Health Service Clinic/Center based in Puckett, MS and is specialized in Health Service. Puckett Medical Clinic practices in Brandon, MS. The NPI Number for Puckett Medical Clinic is 1932476280 and holds a License No. R633283 (Mississippi).

The current practice location address for Puckett Medical Clinic is 6455 Highway 18, Brandon, MS and can be reached out via phone at 601-824-9490 and via fax at 601-824-9533.

Location: 6455 Highway 18, Brandon, MS, 39151-0366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932476280
Provider Name
Puckett Medical Clinic
Credential
Provider Entity Type
Organization
Address
6455 Highway 18, Brandon, MS, 39151-0366
Phone Number
601-824-9490
Fax Number
601-824-9533
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6455 Highway 18
City
Brandon
State
Mississippi
Zip
39042-7536
Phone Number
601-824-9490
Fax Number
601-824-9533
person
Provider Business Mailing Address Details
Address
6455 Highway 18
City
Brandon
State
Mississippi
Zip
39042-7536
Phone Number
601-824-9490
Fax Number
601-824-9533
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
R633283 (Mississippi)
Definition
Definition to come...
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