Individual
DR. SAMUEL MACK PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1829 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-0653
(423) 625-8264
Mailing address
1829 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-0653
(423) 625-8264
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16317
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015182
—
TN
Enumeration date
07/17/2006
Last updated
01/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us