THOMAS CHILDS PUCKETTE

MOUNT PLEASANT, SC
NPI1356350144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085B0100X Radiology, Body Imaging
(Licence: SC  ME17812)
Additional Taxonomies2085N0904X Radiology, Nuclear Radiology
(Licence: SC  ME17812)
2085P0229X Radiology, Pediatric Radiology
(Licence: SC  ME17812)
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  ME17812)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: SC  ME17812)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: SC  ME17812)
Enumeration Date2006-08-08
Last Update Date2008-06-26
Business Address
Dr. THOMAS CHILDS PUCKETTE
1241 WOODLAND AVENUE
MOUNT PLEASANT, SC 29464
Phone number: 843-824-0606
Mailing Address
Dr. THOMAS CHILDS PUCKETTE
1241 WOODLAND AVENUE
MOUNT PLEASANT, SC 29464
Phone number: 843-824-0606