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DAPHNE DIXON PUCKETT MLT, MT
NPI 1306164496
Specialist/Technologist, Pathology - Medical Technologist in Shellman, GA

Active since May 13, 2010
3652 PEARL ST, SHELLMAN, GA 39886(229) 679-5446 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daphne Dixon Puckett Mlt, Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAPHNE DIXON PUCKETT MLT, MT (NPI 1306164496) is an individual medical technologist in Shellman, Georgia, licensed in Georgia (80-0530) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1306164496
Entity TypeIndividualFemale
Primary Taxonomy246QM0706X
Provider Legal NameDAPHNE DIXON PUCKETTCredential: MLT, MT
Location Address3652 PEARL STShellman, GA 39886
Mailing Address3652 Pearl StShellman, GA 39886 · (229) 679-5446
Phone(229) 679-5446
Sole ProprietorYes
Enumeration DateMay 13, 2010
✔ NPI 1306164496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
License✔ Licensed in GA · 80-0530
3652 PEARL ST, Shellman, GA 39886
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daphne Puckett's NPI number?

The NPI number for Daphne Puckett is 1306164496. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Daphne Puckett located?

Daphne Puckett practices at 3652 Pearl St, Shellman, GA 39886. The listed phone number is (229) 679-5446.

What is Daphne Puckett's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Daphne Puckett was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.