Puckett, Brett Daniel

Puckett, Brett Daniel is an individual health care provider with primary practice located at 771 Old Norcross Rd Ste 390 , Lawrenceville GA 30046-4324. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Puckett, Brett Daniel can be contacted via phone (678) 957-0757.

Contact Information

Primary practice address
771 Old Norcross Rd Ste 390 Lawrenceville GA 30046-4324
Phone: (678) 957-0757
Fax: (678) 957-9597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36002274A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10254 Georgia

Profile Details

NPI number 1265830152
LBN Legal business name Puckett, Brett Daniel
Credentials PA-C, MMSC, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2014
Last updated Nov 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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