ROCKBRIDGE WEST PARK MEDICAL ASSOCIATION PC MEDICAL OFFICE

STONE MOUNTAIN, GA
NPI1326436221
Entity TypeOrganization
Authorized ContactTADEUSZ WODECKI
Physician
770-413-1300
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  029264)
Enumeration Date2014-12-30
Last Update Date2015-01-07
Business Address
ROCKBRIDGE WEST PARK MEDICAL ASSOCIATION PC MEDICAL OFFICE
2256 ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-3517
Phone number: 770-413-1300
Mailing Address
ROCKBRIDGE WEST PARK MEDICAL ASSOCIATION PC MEDICAL OFFICE
2256 ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-3517
Phone number: 770-413-1300