Individual
MRS. MEAGAN WALLACE PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5680 NC HIGHWAY 42 W, GARNER, NC 27529-8120
(191) 977-2895
Mailing address
5680 NC HIGHWAY 42 W, GARNER, NC 27529-8120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006975
NC
Other
Enumeration date
07/09/2014
Last updated
08/26/2014
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