DOUGLAS B WIDENER

RESURGENS, PC

Dr DOUGLAS B WIDENER is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2008 from Medical College Of Georgia.

Contact

RESURGENS, PC

15 REINHARDT COLLEGE PKWY
CANTON
GA
301145257

Tel: 6785054455

DOUGLAS B WIDENER Information

Npi 1104088566
Pac Id 4284959768
Professional Enrollment Id I20170511002213
Last Name WIDENER
First Name DOUGLAS
Middle Name B
Suffix
Gender M
Credential
Medical School Name MEDICAL COLLEGE OF GEORGIA
Graduation Year 2008
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RESURGENS, PC
Group Practice Pac Id 1153224142
Number Of Group Practice Members 147
Line 1 Street Address 15 REINHARDT COLLEGE PKWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANTON
State GA
Zip Code 301145257
Phone Number 6785054455
Hospital Affiliation Ccn 1 110008
Hospital Affiliation Lbn 1 NORTHSIDE HOSPITAL CHEROKEE
Hospital Affiliation Ccn 2 110225
Hospital Affiliation Lbn 2 PIEDMONT MOUNTAINSIDE HOSPITAL INC
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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