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Individual

BOB WODECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
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
36856
NC
207RR0500X
Rheumatology Physician
Primary
36856
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8988753
NC
Enumeration date
07/27/2005
Last updated
02/14/2026
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