Dr. Samuel Mack Puckett
M.D. | Pediatrics | Male
Dr. Samuel Mack Puckett, M.D. is a Newport, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Samuel Mack Puckett is
1829 Crowe Ln, Newport, Tennessee - 37821-7264. He can be contacted on phone at
423-623-0653 and fax number 423-625-8264.
Dr. Samuel Mack Puckett is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samuel Mack Puckett is
1770501819 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 20 Jan, 2010.
Dr. Samuel Mack Puckett license number is
MD16317 for Pediatrics (208000000X) in Tennessee.
Dr. Samuel Mack Puckett is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Samuel Mack Puckett basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Samuel Mack Puckett |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Samuel Mack Puckett address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1829 Crowe Ln
Newport, TN, 37821-7264
United States |
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| Phone Number : | 423-623-0653 |
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| Fax Number : | 423-625-8264 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770501819 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 20 Jan, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Mack Puckett are as mentioned. Primary taxonomy code for Dr. Samuel Mack Puckett, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD16317 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samuel Mack Puckett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3015182 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1829 Crowe Ln
Newport, TN, 37821-7264
United States |
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| Phone Number : | 423-623-0653 |
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| Fax Number : | 423-625-8264 |
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Business Location:
Patients can refer following map for directions to
Dr. Samuel Mack Puckett practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.