| Thomas G Puckett, MD | |
|
1107 S 34th Ave, Hattiesburg, MS 39402-3004 | |
| (601) 268-1988 | |
| Not Available |
| Full Name | Thomas G Puckett |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1107 S 34th Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841308160 | NPI | - | NPPES |
| 00120180 | Medicaid | MS | |
| 009924610 | Medicaid | AL | |
| 1559101 | Other | MS | AMERICAN ADMIN GROUP |
| 1561274 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 06231 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G Puckett, MD 1107 S 34th Ave, Hattiesburg, MS 39402-3004 Ph: (601) 268-1988 | Thomas G Puckett, MD 1107 S 34th Ave, Hattiesburg, MS 39402-3004 Ph: (601) 268-1988 |
Gary Wayne Benson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5052 W 4th St, Hattiesburg, MS 39402 Phone: 601-268-5995 Fax: 601-264-7426 | |
Kurt Gregory Kratz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5052 W 4th St, Hattiesburg, MS 39402 Phone: 601-261-2587 Fax: 601-261-3201 | |
Leigh Anne Strong, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5261 Fax: 601-579-5257 | |
Pearl Gizelle Myers, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 155 Cross Creek Pkwy, Apt 315, Hattiesburg, MS 39402 Phone: 601-520-4268 | |
Dr. Frederick E Nora, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5052 W 4th St, Hattiesburg, MS 39402 Phone: 601-268-5995 Fax: 601-261-3201 | |
Lynda Gentchev, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5052 W 4th St, Hattiesburg, MS 39402 Phone: 601-261-2587 | |
Donald H Gale, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5052 W 4th St, Hattiesburg, MS 39402 Phone: 601-261-2587 Fax: 601-261-3201 |