Individual
MR. TADEUSZ K WODECKI
Active
Individual
MR. TADEUSZ K WODECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029264
GA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
200301312
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00543397A
—
GA
01
—
1619994472
NPI
GA
Enumeration date
07/17/2006
Last updated
01/17/2012
Update your record
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