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Individual

DR. SUSAN MARIE WODICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1310 24TH AVE SOUTH, TENNESSE HEALTH VCARE SYSTEMS, NASHVILLE, TN 37212
(615) 327-4751
Mailing address
6421 CLOVERBROOK DR, BRENTWOOD, TN 37027-4717
(615) 332-3597

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000010943
TN
207R00000X
Internal Medicine Physician
O26413
GA

Other

Enumeration date
07/17/2006
Last updated
07/21/2022
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