NPI
Derek Wade Puckett
NPI 1851484422
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- RPT
- Type
- Individual
- Enumeration date
- 2006-10-02
- Last updated
- 2011-03-23
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Specialties
Licenses
- License MS
- PT1702
Location
- Practice location
- 3000 Hwy 49 South
- City
- Florence MS
- Postal code
- 39073
- Phone
- (601) 845-8282
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Florence, MS. 105 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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