Dr. Justin Wade Widner
DO | Pediatrics | Male
Dr. Justin Wade Widner, DO is a Tazewell, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Justin Wade Widner is
1610 Tazewell Rd Ste 203, Tazewell, Tennessee - 37879-3648. He can be contacted on phone at
423-259-3701 and fax number 866-954-5783.
Dr. Justin Wade Widner is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Justin Wade Widner is
1225566953 which was assigned by NPPES on 25 May, 2017 and it was last updated on 08 Apr, 2022.
Dr. Justin Wade Widner license number is
3903 for Pediatrics (208000000X) in Tennessee.
Dr. Justin Wade Widner 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:
Dr. Justin Wade Widner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Justin Wade Widner |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Dr. Justin Wade Widner 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 : | 1610 Tazewell Rd Ste 203
Tazewell, TN, 37879-3648
United States |
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| Phone Number : | 423-259-3701 |
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| Fax Number : | 866-954-5783 |
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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 : | 1225566953 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 May, 2017 |
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| Last Updated On : | 08 Apr, 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 Dr. Justin Wade Widner are as mentioned. Primary taxonomy code for Dr. Justin Wade Widner, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 3903 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Justin Wade Widner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| Q042576 | MEDICAID | TN | |
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 : | Po Box 15004
Knoxville, TN, 37901-5004
United States |
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| Phone Number : | 865-541-8895 |
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| Fax Number : | 865-633-4808 |
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Business Location:
Patients can refer following map for directions to
Dr. Justin Wade Widner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.