| NPI | 1841450483 |
|---|---|
| Doing Business As | PUCKETT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALLEN W GARY COO 601-847-7125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2014-05-05 |