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Individual

DR. FRANKIE A. PUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 DIANA DR, WEBSTER SPRINGS, WV 26288-9078
(304) 847-5682
(304) 847-5985
Mailing address
125 DIANA DR, WEBSTER SPRINGS, WV 26288-9078
(304) 847-5682

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22820
WV
208600000X
Surgery Physician
22820
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810018033
WV
Enumeration date
10/11/2006
Last updated
01/06/2023
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