License holder summary

PUCKETT, NICOLETTE M is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for PUCKETT, NICOLETTE M is 2355 GREENGLADE RD, Atlanta 30345. This doctor license is current. The license was granted 09/01/2005 and expired on 01/31/2018.

Georgia

Composite Medical Board

PUCKETT, NICOLETTE M
Medical - Physician Assistant
License number
004597
Date granted
09/01/2005
Date expires
01/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
2355 GREENGLADE RD
georgiadoctors.net
ID 38100929
LAST UPDATED 2024-02-17 23:55:01 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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