Justin Wade Widner, DO
Pediatrics Physician · Tazewell, TN
Practice location
1610 Tazewell Rd Ste 203Tazewell, TN 37879-3648
- Phone
- (423) 259-3701
- Fax
- (866) 954-5783
NPI record
- NPI
- 1225566953
- Entity type
- Individual (Type 1)
- Enumeration date
- May 25, 2017
- Last updated
- April 8, 2022
- Certified
- April 8, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
3903 | TN |
Mailing address
PO Box 15004Knoxville, TN 37901-5004
- Phone
- (865) 541-8895
- Fax
- (865) 633-4808
About Dr. Widner
Justin Wade Widner, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1610 Tazewell Rd Ste 203, Tazewell, TN 37879-3648. The NPI number 1225566953 was assigned on May 25, 2017 and the record was last updated on April 8, 2022.
Dr. Widner lists a license in the registry: #3903 (TN) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Justin Wade Widner, DO?
The NPI number is 1225566953.
What is the phone number of Dr. Widner?
The phone number listed for the practice location is (423) 259-3701.
Where is Dr. Widner located?
1610 Tazewell Rd Ste 203, Tazewell, TN 37879-3648.
What is the taxonomy code for Dr. Widner?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Tazewell
- East Tennessee Children's Primary Care Center, Inc.1610 Tazewell Rd Ste 203