Individual
DR. MACKENZIE ANTHONY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
335 HAWTHORNE LN, ATHENS, GA 30606
(706) 543-5901
(706) 543-5901
Mailing address
335 HAWTHORNE LN, ATHENS, GA 30606-2153
(706) 543-5901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009975
GA
Other
Enumeration date
11/16/2017
Last updated
07/18/2018
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