Courtney Yung Widjaja
M.D. | Pediatrics | Female
Courtney Yung Widjaja, M.D. is a Lawrenceville, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Courtney Yung Widjaja is
595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, Georgia - 30046. She can be contacted on phone at
770-995-0823 and fax number 770-995-7018.
Courtney Yung Widjaja is a sole proprietor of her business.
NPI number (Unique professional ID) for Courtney Yung Widjaja is
1356904379 which was assigned by NPPES on 16 Apr, 2019 and it was last updated on 23 Sep, 2022.
Courtney Yung Widjaja license number is
92344 for Pediatrics (208000000X) in Georgia.
Courtney Yung Widjaja is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Courtney Yung Widjaja basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Courtney Yung Widjaja |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Courtney Yung Widjaja address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 595 Hurricane Shoals Road Nw, Suite 300
Lawrenceville, GA, 30046
United States |
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| Phone Number : | 770-995-0823 |
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| Fax Number : | 770-995-7018 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356904379 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Apr, 2019 |
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| Last Updated On : | 23 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Courtney Yung Widjaja are as mentioned. Primary taxonomy code for Courtney Yung Widjaja, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 10825 | GA |
| 208000000X | Pediatrics | Yes | 92344 | GA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 595 Hurricane Shoals Road Nw, Suite 300
Lawrenceville, GA, 30046
United States |
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| Phone Number : | 770-995-0823 |
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| Fax Number : | 770-995-7018 |
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Business Location:
Patients can refer following map for directions to
Courtney Yung Widjaja practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.