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Roshanda Puckett
NPI 1962822817 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1309 Greenview Dr
Griffin, GA 30224 - Phone
- (678) 603-1484
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia