Dr MARTHA PUCKETT is a female medical professional, specializing in Nurse Practitioner. She graduated in 1989.
KEMPER CAH, INC.
14365 HWY 16 W
DE KALB
MS
393287974
Tel: 7694861000
| Npi | 1104808732 |
| Pac Id | 7113182114 |
| Professional Enrollment Id | I20120625000555 |
| Last Name | PUCKETT |
| First Name | MARTHA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1989 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | KEMPER CAH, INC. |
| Group Practice Pac Id | 5991985012 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 14365 HWY 16 W |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DE KALB |
| State | MS |
| Zip Code | 393287974 |
| Phone Number | 7694861000 |
| Hospital Affiliation Ccn 1 | 251335 |
| Hospital Affiliation Lbn 1 | JOHN C STENNIS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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