NPI 1306164496

Daphne Dixon Puckett, MLTMT

Practitioner Medical Technologist Shellman, GA

Practice location

Address: 3652 Pearl St, Shellman, GA 39886
Phone: (229) 679-5446

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 80-0530 (GA)

Other Specialist/Technologist, Pathology providers in Georgia →

Registry record

NPI: 1306164496
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2010
Record last updated: 13 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.