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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL MACK PUCKETT, M.D.

Active

DR. SAMUEL MACK PUCKETT, M.D. is a Pediatrics healthcare provider located in NEWPORT, Tennessee. NPI 1770501819 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · NEWPORT, TN

Registration Details

NPI Number
1770501819
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.106152897613 yrs)
Last Updated
Jan 20, 2010
License
MD16317 (TN)

Practice Information

Address
1829 CROWE LN
NEWPORT, TN, 378217264
Browse TN providers · Browse ZIP 37821
Phone
4236230653
Fax
4236258264
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in NEWPORT, TN

Name Credential NPI
JEANNE MARIE BOHRER MD 1861585275
DR. JENNIFER LEA SAUCEMAN M.D. 1992930846
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.