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DAPHNE D PUCKETT, MLT, MT – NPI #1306164496
Medical Technologist

NPI Profile for DAPHNE D PUCKETT in SHELLMAN, GA.

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Contact Information

DAPHNE D PUCKETT, MLT, MT
3652 PEARL ST
SHELLMAN, GA  39886
 Phone: 229-679-5446
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical Technologist

 246QM0706X
Indicates primary specialty

NPI Profile & details for DAPHNE D PUCKETT · (Female)

NPI # 1306164496
Status Active
Credentials MLT, MT
Entity Individual
Enumeration date 05/13/2010
Last updated 05/13/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 80-0530
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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