Most Relevant Information
Provider Data
| NPI Number: | 1003280116 |
| Provider Name: | CATHY PUCKETT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2015 |
| Last Updated: | 12/01/2015 |
Provider Practice Location
180 WATER OAK DR
CEDARTOWN
GA
301252095
Practice Location Phone/Fax
| Phone: | 7707482225 |
| Fax: | 7707490939 |
Provider Mailing Location
180 WATER OAK DR
CEDARTOWN
GA
301252095
Provider Mailing Phone/Fax
| Phone: | 7707482225 |
| Fax: | 7707490939 |