Individual
AILIN LI PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 848-8000
Mailing address
1400 RIVER PL, BRASELTON, GA 30517-5600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN255290
GA
Other
Enumeration date
03/09/2020
Last updated
03/26/2020
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