Provider Demographics
NPI:1730159161
Name:CZUBA, KAREN MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARGARET
Last Name:CZUBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 CARRIAGE GATE DR
Mailing Address - Street 2:
Mailing Address - City:WELLFORD
Mailing Address - State:SC
Mailing Address - Zip Code:29385-9386
Mailing Address - Country:US
Mailing Address - Phone:864-909-1951
Mailing Address - Fax:
Practice Address - Street 1:INMAN MILLS 15990 HWY 221
Practice Address - Street 2:
Practice Address - City:ENOREE
Practice Address - State:SC
Practice Address - Zip Code:29335
Practice Address - Country:US
Practice Address - Phone:864-909-1951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine