Organization
PUTNAM PHYSICIAN PRACTICES, LLC
Active
Other names
PUTNAM GI ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MERRITT-DIETZ (ADMIN)
(386) 244-6408
Entity
Organization
Contact information
Practice address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(386) 326-7793
(386) 328-4244
Mailing address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(386) 326-7793
(386) 328-4244
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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