Jukic, Drazen M
Jukic, Drazen M is an individual health care provider with primary practice located at 5400 Sutlive St Suite 3, Savannah GA 31405-4721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Jukic, Drazen M can be contacted via phone (912) 232-7546.Contact Information
Primary practice address
5400 Sutlive St Suite 3
Savannah GA 31405-4721
Phone: (912) 232-7546
Fax: (912) 777-7798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 056878 | Georgia |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 056878 | Georgia |
Profile Details
| NPI number | 1134193774 |
|---|---|
| LBN Legal business name | Jukic, Drazen M |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Nov 6th, 2015 - about 9 years 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 | 1134193774 | NPPES |
| Georgia | MEDICAID | 003140616 | |
| Georgia | Other | 056878 | |
| Georgia | MEDICAID | 003007800 | |
| Georgia | Other | 149H6 |
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