| Puckett Medical Clinic | |
|
6455 Highway 18 Brandon MS 39042 | |
| (601) 824-9490 | |
| (601) 824-5855 |
| Full Name | Puckett Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6455 Highway 18, Brandon, Mississippi |
| Authorized Official Name and Position | Allen W Gary (COO) |
| Authorized Official Contact | 6018477125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puckett Medical Clinic P.o. Box 580 Puckett MS 39151 Ph: (601) 824-9490 | Puckett Medical Clinic 6455 Highway 18 Brandon MS 39042 Ph: (601) 824-9490 |
| NPI Number | 1841450483 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 05/05/2014 |
| Medicare PECOS PAC ID | 5991709750 |
|---|---|
| Medicare Enrollment ID | O20141105000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841450483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
Ken R. Morris M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Crossgates Blvd, Suite 1300, Brandon, MS 39042 Phone: 601-825-6181 Fax: 601-825-2228 | |
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J. Brad Madden, Md Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Burnham Rd, Suite B, Brandon, MS 39042 Phone: 601-933-1676 Fax: 601-933-9781 | |
4 The Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1127 Old Fannin Rd, C, Brandon, MS 39047 Phone: 601-214-4420 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-3163 Fax: 601-825-7893 |