PUCKETT FAMILY MEDICAL CLINIC

BRANDON, MS
NPI1689285249
Entity TypeOrganization
Authorized ContactASHELY M SHIVERS
Owner
601-824-9490
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2020-08-16
Last Update Date2020-08-16
Business Address
PUCKETT FAMILY MEDICAL CLINIC
6455 HIGHWAY 18
BRANDON, MS 39042-7536
Phone number: 601-824-9490
Mailing Address
PUCKETT FAMILY MEDICAL CLINIC
PO BOX 580
PUCKETT, MS 39151-0580
Phone number: 601-824-9490
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