Widener, Douglas B
Widener, Douglas B is an individual health care provider with primary practice located at 1495 Hickory Flat Hwy Ste 200 , Canton GA 30115-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Widener, Douglas B can be contacted via phone (678) 505-4455.Contact Information
Primary practice address
1495 Hickory Flat Hwy Ste 200
Canton GA 30115-4229
Phone: (678) 505-4455
Fax: (678) 505-4446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 063452 | Georgia |
Profile Details
| NPI number | 1104088566 |
|---|---|
| LBN Legal business name | Widener, Douglas B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2008 |
| Last updated | Sep 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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