SONYA RENEE PUCKETT

COLUMBIA, SC
NPI1982091831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  20299)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  9302684)
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  9302684)
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  9302684)
Enumeration Date2015-04-17
Last Update Date2022-11-08
Business Address
SONYA RENEE PUCKETT APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Mailing Address
SONYA RENEE PUCKETT APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909