Individual
DR. JAMES PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6111 HIGHWAY 49, SUITE 119, HATTIESBURG, MS 39401
(601) 296-6001
(601) 268-1222
Mailing address
PO BOX 16863, HATTIESBURG, MS 39404-6863
(601) 268-3863
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
06457
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123686
—
MS
Enumeration date
02/21/2007
Last updated
01/13/2012
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