Individual
MR. DAVID M PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPO/CPO
Contact information
Practice address
5206 WATERS AVE, SAVANNAH, GA 31404-6230
(912) 354-7500
(912) 354-7887
Mailing address
5202 WATERS AVE, SAVANNAH, GA 31404-6230
(912) 354-7500
(912) 357-7887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000028
GA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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