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Alicia Puckett
NPI 1356611198 · on the registry since 2012
Practice
- Address
- 118 Davis Ave Ste B
Pass Christian, MS 39571 - Phone
- (228) 222-4249
- Fax
- (601) 969-5381
- Organisation at this address
- Davis Drugs
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-22
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 Mississippi