Healthcare Provider Details

I. General information

NPI: 1538281407
Provider Name (Legal Business Name): CATHERINE ZUBER PUCKETT NPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5422 CUMMING HWY STE 204
SUGAR HILL GA
30518-7029
US

IV. Provider business mailing address

3920 SUWANEE BEND DR
SUWANEE GA
30024-6454
US

V. Phone/Fax

Practice location:
  • Phone: 470-760-8144
  • Fax: 678-482-4100
Mailing address:
  • Phone: 678-482-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN160924NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: