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Contact Information

MARY J PUCKETT, PAC
538 SCOTTS CREEK RD, SUITE 100
JCDPH
SYLVA, NC28779
 Phone: 828-587-8267
 Fax: 828-587-8295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARY J PUCKETT · (Female)

NPI Number 1346346210
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/16/2006
Last updated 11/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 001000103
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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