Individual
MR. BRANNON F. PUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2630 EAST SEVENTH STREET, SUITE 200, CHARLOTTE, NC 28204
(704) 364-6110
(704) 364-4245
Mailing address
2630 EAST SEVENTH STREET, SUITE 200, CHARLOTTE, NC 28204
(704) 364-6110
(704) 364-4245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06986
NC
Other
Enumeration date
02/15/2017
Last updated
12/21/2018
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