Individual
DEBRA SZOSTAK-WODECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
293 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 872-8711
(704) 872-5866
Mailing address
766 HARTNESS RD STE B, STATESVILLE, NC 28677-3485
(704) 873-5667
(704) 883-3228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9300336
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
9300336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8981323
—
NC
Enumeration date
06/16/2005
Last updated
02/14/2026
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