Thomas Childs Puckette in Mount Pleasant - Diagnostic Ultrasound

Thomas Childs Puckette - NPI 1356350144

Thomas Childs Puckette is a Diagnostic Ultrasound in Mount Pleasant, South Carolina. Thomas Childs Puckette practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Thomas Childs Puckette is 1356350144. The last update date is 2008-06-26.

Thomas Childs Puckette's current location address is 1241 Woodland Avenue, Mount Pleasant, South Carolina. You can contact this provider via phone number 8438240606 and fax number 8438240909. The mailing address for Thomas Childs Puckette is 1241 Woodland Avenue, Mount Pleasant, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Childs Puckette
Address 1241 Woodland Avenue, Mount Pleasant, South Carolina
Phone Number 8438240606
Fax Number 8438240909
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1356350144
Provider Enumeration Date 2006-08-08
Last Updated Date 2008-06-26

Provider Mailing Address Detail

Address 1241 Woodland Avenue
City Mount Pleasant
State South Carolina (SC)
Post Code 29464
Phone Number 8438240606
Fax Number 8438240909

Provider's Primary Taxonomy Detail

Speciality Diagnostic Ultrasound
Taxonomy 2085U0001X
Licence No ME17812
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1709 SC MEDICARE GROUP
300125235 MEDICARE RR
8683 SC MEDICARE GROUP
T17906 SC --
1138590 FIRST HEALTH

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FAQs about Thomas Childs Puckette

What is the unique provider identifier assigned to Thomas Childs Puckette?

The Thomas Childs Puckette has been issued the NPI (National Provider Identifier) 1356350144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Thomas Childs Puckette?

The Thomas Childs Puckette is physically situated at 1241 Woodland Avenue, in the city of Mount Pleasant, state of SC, with the postal code 29464.

What is Thomas Childs Puckette's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thomas Childs Puckette's specialized field of practice is Diagnostic Ultrasound, and the corresponding taxonomy code that categorizes this area of specialization is 2085U0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356350144 to Thomas Childs Puckette?

The Centers for Medicare & Medicaid Services originally issued the 1356350144 to Thomas Childs Puckette on 2006-08-08.

When was the information related to Thomas Childs Puckette most recently updated or refreshed?

The details pertaining to the Thomas Childs Puckette, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-26.

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