Individual
HERALD JUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(914) 689-1103
Mailing address
323 WALDEN GLEN LN, EVANS, GA 30809-3130
(914) 689-1103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12019
GA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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