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1073141404
JOHN AUSTIN PUCKETT
JACKSON, MS
NPI
1073141404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS T-4180)
Enumeration Date
2020-03-31
Last Update Date
2020-07-06
Business Address
JOHN AUSTIN PUCKETT MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-0600
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Mailing Address
JOHN AUSTIN PUCKETT MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-0600
Copy
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