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Individual

SLAVKO KUKUCKA

Active
Find providers by NPI
Individual

SLAVKO KUKUCKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046877
GA
261QU0200X
Urgent Care Clinic/Center
Primary
046877
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000843235F
—
GA
01
—
52782040-008
BCBS GA FOR SAVANNAH LOCATION
GA
01
—
52782040-009
BCBS/GA FOR POOLER LOCATION
GA
01
—
582203199-004
TRICARE ID
GA
01
—
582203199-009
TRICARE ID
GA
01
—
CG4057
RR MEDICARE GROUP ID
GA
05
—
G46877
—
SC
01
—
GRP2837
MEDICARE GROUP ID
GA
01
—
P00441748
RR MEDICARE
GA
Enumeration date
02/22/2006
Last updated
07/17/2026
About Stedi
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