Provider Demographics
NPI:1285603316
Name:PUCKETT, ALLISON PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:PATRICIA
Last Name:PUCKETT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:501 GREAT CIRCLE RD.
Mailing Address - Street 2:STE. 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228
Mailing Address - Country:US
Mailing Address - Phone:615-565-6386
Mailing Address - Fax:615-222-7237
Practice Address - Street 1:1800 MEDICAL CENTER PARKWAY
Practice Address - Street 2:DEPAUL BLGD. STE. 400
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-396-6800
Practice Address - Fax:520-818-2508
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-06-25
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Provider Licenses
StateLicense IDTaxonomies
AZ34701207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI22006Medicare UPIN