Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAPHNE DIXON PUCKETT, MLT, MT
Active Sole ProprietorMedical Technologist · SHELLMAN, GA
Registration Details
- NPI Number
- 1306164496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2010 (15.943283982258 yrs)
- Last Updated
- May 13, 2010
- License
-
80-0530 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3652 PEARL STSHELLMAN, GA, 39886Browse GA providers · Browse ZIP 39886
- Phone
- 2296795446
- Primary Specialty
-
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.