JAMIE PUCKETT

COLUMBIA, SC
NPI1518512029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  22946)
Enumeration Date2019-08-02
Last Update Date2022-02-07
Business Address
Mr. JAMIE PUCKETT NP
TAYLOR AT MARION
COLUMBIA, SC 29220-5194
Phone number: 803-434-6771
Mailing Address
Mr. JAMIE PUCKETT NP
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7033
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