MILES FLINT PUCKETT MBA CCMA NPI 1770052268

NPI Information

NPI: 1770052268
Provider Name: MILES FLINT PUCKETT, MBA, CCMA
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
379 STANAFORD RD
BECKLEY, WV
ZIP 25801
Phone: (606) 225-6072
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Miles Flint Puckett, MBA, CCMA is an electroneurodiagnostic specialist technologist other in Beckley, WV. Miles Flint Puckett, MBA, CCMA NPI is 1770052268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

379 STANAFORD RD
BECKLEY, WV
ZIP 25801-141
Phone: (606) 225-6072

The enumeration date for this NPI number is 11/14/2018 and was last updated on 11/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	374700000X	Technician		No
2	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic	Yes
3	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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