Dr Samuel Mack Puckett, MD | |
1829 Crowe Ln, Newport, TN 37821-7264 | |
(423) 623-0653 | |
(423) 625-8264 |
Full Name | Dr Samuel Mack Puckett |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1829 Crowe Ln, Newport, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770501819 | NPI | - | NPPES |
3015182 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD16317 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Mack Puckett, MD 1829 Crowe Ln, Newport, TN 37821-7264 Ph: (423) 623-0653 | Dr Samuel Mack Puckett, MD 1829 Crowe Ln, Newport, TN 37821-7264 Ph: (423) 623-0653 |
Jeanne Marie Bohrer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 610 Cosby Hwy, Newport, TN 37821 Phone: 423-625-7777 Fax: 423-625-4903 | |
Dr. Jennifer Lea Sauceman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1829 Crowe Ln, Newport, TN 37821 Phone: 423-623-0653 |