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Search › Georgia › 363A00000X

Brett Puckett, PA-C, MMSC, ATC

NPI 1265830152 · on the registry since 2014

Practice

Address
771 Old Norcross Rd Ste 390
Lawrenceville, GA 30046
Phone
(678) 957-0757
Fax
(678) 957-9597
Organisation at this address
Orthoatlanta
Orthoatlanta, Llc
Rodriguez Md, Llc
T L Hughes Md, Llc
William Bostock , Do
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
2255A2300X
390200000X
Licence states on file
IN, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia