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Mr. David M Puckett, LPO/CPO
Prosthetic/Orthotic Supplier in Savannah, Georgia
NPI 1972772325

David M Puckett is a Prosthetic/Orthotic Supplier based in Savannah, GA. David M Puckett practices in Savannah, GA and has the professional credentials of LPO/CPO. The NPI Number for David M Puckett is 1972772325 and holds a License No. 000028 (Georgia).

The current practice location address for David M Puckett is 5206 Waters Ave, Savannah, GA and can be reached out via phone at 912-354-7500 and via fax at 912-354-7887.

Location: 5206 Waters Ave, Savannah, GA, 31404-6230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972772325
Provider Name
David M Puckett
Credential
LPO/CPO
Provider Entity Type
Individual
Gender
Male
Address
5206 Waters Ave, Savannah, GA, 31404-6230
Phone Number
912-354-7500
Fax Number
912-354-7887
Provider Enumeration Date
02/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5206 Waters Ave
City
Savannah
State
Georgia
Zip
31404-6230
Phone Number
912-354-7500
Fax Number
912-354-7887
person
Provider Business Mailing Address Details
Address
5206 Waters Ave
City
Savannah
State
Georgia
Zip
31404-6230
Phone Number
912-354-7500
Fax Number
912-354-7887
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
000028 (Georgia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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