Puckett, Terry Lee

Puckett, Terry Lee is an individual health care provider with primary practice located at 24530 Falcon Place Blvd Ste 100 , Abingdon VA 24211-7665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Puckett, Terry Lee can be contacted via phone (276) 619-0075.

Contact Information

Primary practice address
24530 Falcon Place Blvd Ste 100 Abingdon VA 24211-7665
Phone: (276) 619-0075
Fax: (276) 619-0077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X MD 18289 Tennessee
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD 18289 Tennessee
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 0101241208 Virginia

Profile Details

NPI number 1376510222
LBN Legal business name Puckett, Terry Lee
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jun 5th, 2018 - about 7 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 1376510222 NPPES
Virginia MEDICAID 1376510222
Virginia MEDICAID Q000141
Virginia Other P01599940

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