Tadeusz K Wodecki in Stone Mountain - Adolescent Medicine
Tadeusz K Wodecki - NPI 1619994472
Tadeusz K Wodecki is a Adolescent Medicine in Stone Mountain, Georgia. Tadeusz K Wodecki practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Tadeusz K Wodecki is 1619994472. The last update date is 2012-01-17.
Tadeusz K Wodecki's current location address is 2256 Rockbridge Rd, Stone Mountain, Georgia. You can contact this provider via phone number 7704131300 and fax number 7704130547. The mailing address for Tadeusz K Wodecki is 2256 Rockbridge Rd, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tadeusz K Wodecki |
|---|---|
| Address | 2256 Rockbridge Rd, Stone Mountain, Georgia |
| Phone Number | 7704131300 |
| Fax Number | 7704130547 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619994472 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
| Address | 2256 Rockbridge Rd |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 30087 |
| Phone Number | 7704131300 |
| Fax Number | 7704130547 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 200301312 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1619994472 | GA | NPI | |
| 00543397A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tadeusz K Wodecki by the Centers for Medicare & Medicaid Services?
The Tadeusz K Wodecki has been assigned the NPI (National Provider Identifier) 1619994472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Tadeusz K Wodecki is physically located?
The Tadeusz K Wodecki is physically situated at the following address: 2256 Rockbridge Rd, Stone Mountain, GA, 30087.
What is the Tadeusz K Wodecki's specialty and taxonomy code?
The Tadeusz K Wodecki's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Ra0000X.
On what date did the Tadeusz K Wodecki receive its 1619994472 assignment from the Centers for Medicare & Medicaid Services?
The Tadeusz K Wodecki was assigned its 1619994472 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information pertaining to Tadeusz K Wodecki most recently updated or revised?
The details related to Tadeusz K Wodecki, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-17.