Dr Carl Joseph William Czuboka, MD | |
2400 Mount Zion Pkwy, Internal Medicine B, Jonesboro, GA 30236-2500 | |
(770) 603-3605 | |
Not Available |
Full Name | Dr Carl Joseph William Czuboka |
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Gender | Male |
Speciality | Family Medicine |
Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972708774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 058735 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Dr Carl Joseph William Czuboka, MD 2400 Mount Zion Pkwy, Internal Medicine B, Jonesboro, GA 30236-2500 Ph: (770) 603-3605 | Dr Carl Joseph William Czuboka, MD 2400 Mount Zion Pkwy, Internal Medicine B, Jonesboro, GA 30236-2500 Ph: (770) 603-3605 |
Kelly Degraffenreid Organ, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Parkway, Family Practice Health Care Team A, Jonesboro, GA 30236 Phone: 770-603-3649 | |
Lynette G Hall, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Parkway, Department Of After Hours, Jonesboro, GA 30236 Phone: 770-603-3649 | |
Boyede Franklin Ademodi, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Department Of Internal Medicine, Jonesboro, GA 30236 Phone: 770-603-3667 | |
Dr. Belkis Pimentel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Office, Jonesboro, GA 30236 Phone: 770-603-3632 | |
Mr. Matthieu Laliberte, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3577 | |
Sonu Mody Patel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966 | |
Philip Lee Carroll, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3577 |