Douglas B Widener in Canton - Orthopaedic Surgery
Douglas B Widener - NPI 1104088566
Douglas B Widener is a Orthopaedic Surgery in Canton, Georgia. Douglas B Widener practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Douglas B Widener is 1104088566. The last update date is 2020-09-15.
Douglas B Widener's current location address is 1495 Hickory Flat Hwy Ste 200, Canton, Georgia. You can contact this provider via phone number 6785054455. The mailing address for Douglas B Widener is 1495 Hickory Flat Hwy Ste 200, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas B Widener |
|---|---|
| Address | 1495 Hickory Flat Hwy Ste 200, Canton, Georgia |
| Phone Number | 6785054455 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104088566 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2020-09-15 |
Provider Mailing Address Detail
| Address | 1495 Hickory Flat Hwy Ste 200 |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301154229 |
| Phone Number | 6785054455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 63452 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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What is the unique identifier code issued to Douglas B Widener by the Centers for Medicare & Medicaid Services?
The Douglas B Widener has been assigned the NPI (National Provider Identifier) 1104088566. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Douglas B Widener's facilities are geographically located?
The facilities of Douglas B Widener are physically situated at the following location: 1495 Hickory Flat Hwy Ste 200, Canton, GA, 301154229.
What is the Douglas B Widener's specialty and taxonomy code?
The Douglas B Widener's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.
On what date did the Douglas B Widener receive its 1104088566 assignment from the Centers for Medicare & Medicaid Services?
The Douglas B Widener was assigned its 1104088566 by the Centers for Medicare & Medicaid Services on 2008-06-27.
As of what date was the information pertaining to Douglas B Widener, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas B Widener, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-09-15.