| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 1972708774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 058735 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| 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 |
|---|---|
| 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 |