DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TADEUSZ K WODECKI, MD

Active Sole Proprietor

Internal Medicine · STONE MOUNTAIN, GA

Registration Details

NPI Number
1619994472
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (19.765141273108 yrs)
Last Updated
Jan 17, 2012
Licenses
029264 (GA)
200301312 (NC)
Sole Proprietor
Yes

Practice Information

Address
2256 ROCKBRIDGE RD
STONE MOUNTAIN, GA, 30087
Browse GA providers · Browse ZIP 30087
Phone
7704131300
Fax
7704130547
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Allergy & Immunology

Other Internal Medicine Providers in STONE MOUNTAIN, GA

Name Credential NPI
JILL WENER M.D. 1003928516
DR. LISA CAROLINA ROBBINS M.D. 1376629451
DR. MADHUSUDAN CHANDORA M.D. 1376682971
DR. ROSE M TAYLOR MD 1972623866
DR. TANEISHA NACOYA BENJAMIN M.D. 1184881674
FRENY SHAH M.D. 1942592787
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.