Individual
MILES FLINT PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, CCMA
Contact information
Practice address
379 STANAFORD RD, BECKLEY, WV 25801-3141
(606) 225-6072
Mailing address
PO BOX 342, PAINTSVILLE, KY 41240-0342
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
374700000X
Technician
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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