Individual
DR. DRAZEN M JUKIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5400 SUTLIVE ST, SUITE 3, SAVANNAH, GA 31405-4721
(912) 232-7546
(912) 777-7798
Mailing address
2400 BELLEVUE RD, SUITE 21-A, DUBLIN, GA 31021-2885
(478) 275-7202
(478) 274-8418
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
056878
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
056878
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003007800
—
FL
05
—
003140616
—
GA
01
—
056878
GEORGIA LICENSE
GA
01
—
149H6
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/13/2006
Last updated
11/06/2015
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