Kukucka, Slavko

Kukucka, Slavko is an sole proprietor health care provider with primary practice located at 119 Chimney Rd , Rincon GA 31326-5541. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Allopathic & Osteopathic Physicians / Family Medicine. Ambulatory Health Care Facilities / Urgent Care is his primary health care specialty. Kukucka, Slavko can be contacted via phone (912) 295-5560.

Contact Information

Primary practice address
119 Chimney Rd Rincon GA 31326-5541
Fax: (912) 295-5562
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 046877 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 046877 Georgia

Profile Details

NPI number 1568437507
LBN Legal business name Kukucka, Slavko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Jul 17th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568437507 NPPES
Georgia Other 52782040-008 BCBS GA FOR SAVANNAH LOCATION
Georgia MEDICAID 000843235F BCBS GA FOR SAVANNAH LOCATION
Georgia Other 52782040-009 BCBS GA FOR SAVANNAH LOCATION
Georgia Other GRP2837 BCBS GA FOR SAVANNAH LOCATION
Georgia Other P00441748 BCBS GA FOR SAVANNAH LOCATION
Georgia Other 582203199-009 BCBS GA FOR SAVANNAH LOCATION
Georgia Other CG4057 BCBS GA FOR SAVANNAH LOCATION
Georgia MEDICAID G46877 BCBS GA FOR SAVANNAH LOCATION
Georgia Other 582203199-004 BCBS GA FOR SAVANNAH LOCATION

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