Puckett, James

Puckett, James is an individual health care provider with primary practice located at 6111 Highway 49 Suite 119, Hattiesburg MS 39401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Puckett, James can be contacted via phone (601) 296-6001.

Contact Information

Primary practice address
6111 Highway 49 Suite 119 Hattiesburg MS 39401
Phone: (601) 296-6001
Fax: (601) 268-1222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 06457 Mississippi

Profile Details

NPI number 1477698926
LBN Legal business name Puckett, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jan 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477698926 NPPES
Mississippi MEDICAID 00123686

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