Individual
JOHN AUSTIN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0600
(601) 815-0985
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0600
(601) 815-0985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-4180
MS
Other
Enumeration date
03/31/2020
Last updated
07/06/2020
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