PUCKETT MEDICAL CLINIC is a health service clinic center in Brandon, MS. PUCKETT MEDICAL CLINIC NPI is 1932476280. The provider is registered as an organization entity type.
The provider's business location address is:
6455 HIGHWAY 18
BRANDON, MS
ZIP 39042-536
Phone: (601) 824-9490
Fax: (601) 824-9533
The provider's authorized official is Debra Develin .
The authorized official title is Owner and has the following contact phone number (601) 824-9490.
The CLIA number assigned to this NPI record is 25D1099500 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.