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Derek Puckett, RPT
NPI 1851484422 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3000 Hwy 49 South
Florence, MS 39073 - Phone
- (601) 845-8282
- Fax
- (601) 845-8290
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-23
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