Tadeusz Wodecki


Address: 2256 Rockbridge Rd, Stone Mountain, GA 30087-3517
Phone: 7704131300

Tadeusz Wodecki (NPI# 1619994472, PAC ID# 3779740014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1619994472
PAC ID by PECOS 3779740014
Professional Enrollment ID I20120130000287
Full Name Tadeusz Wodecki
Address 2256 Rockbridge Rd
Stone Mountain
GA 30087-3517
Phone Number 7704131300
Gender M
Graduation Year 1979
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2256 Rockbridge Rd, Stone Mountain, GA 30087-3517 7704131300

Organization Information

Office Location

Street Address 2256 ROCKBRIDGE RD
City STONE MOUNTAIN
State GA
Zip 30087-3517

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Name Specialty Organization Address
Kathleen S Johnson Obstetrics/gynecology Dekalb Womens Specialists 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087
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Trudy Seivwright Obstetrics/gynecology Dekalb Womens Specialists 5295 Stone Mountain Hwy, Suite N, Stone Mountain, GA 30087
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Jose Roberto Aveiga Physical Therapy Independent Physical Therapy of Georgia, LLC 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012
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Ketreena Roshawn Footman Physical Therapy Independent Physical Therapy of Georgia, LLC 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012
Jonathan D Norton Physical Therapy Independent Physical Therapy of Georgia, LLC 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012
Robert Lee Felber Iii Physical Therapy Independent Physical Therapy of Georgia, LLC 1227 Rockbridge Rd, Suite 402, Stone Mountain, GA 30087-3012
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Competitor

Search similar physicians

City STONE MOUNTAIN
Zip Code 30087
Specialty GENERAL PRACTICE
City + Specialty STONE MOUNTAIN + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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