Individual
DR. STEPHANIE WODOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2240
Mailing address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-01271
NC
207P00000X
Emergency Medicine Physician
254405
NY
Other
Enumeration date
07/09/2008
Last updated
01/13/2015
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