IndividualActive
Daphne Puckett, MLT, MT
NPI 1306164496 · Medical Technologist · Shellman, GA
Provider details
- NPI number
- 1306164496
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MLT, MT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 80-0530 (GA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3652 Pearl St
Shellman, GA 39886
Phone: (229) 679-5446
Approximate (ZIP-level) locationGet directions
Mailing address
3652 Pearl St
Shellman, GA 39886
Registry dates
- Enumerated
- 2010-05-13
- Last updated
- 2010-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.