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
Phone: (912) 295-5560
Fax: (912) 295-5562
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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