Puckett, Rhonda Kim
Puckett, Rhonda Kim is an individual health care provider with primary practice located at 18 Riverbend Dr Sw Ste 120 , Rome GA 30161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Puckett, Rhonda Kim can be contacted via phone (706) 378-1202.Contact Information
Primary practice address
18 Riverbend Dr Sw Ste 120
Rome GA 30161
Phone: (706) 378-1202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN077416 | Georgia |
Profile Details
| NPI number | 1205371325 |
|---|---|
| LBN Legal business name | Puckett, Rhonda Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2016 |
| Last updated | Nov 8th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205371325 | NPPES |
| Georgia | MEDICAID | 003200186 |
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