Individual
DR. JUSTIN WADE WIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1610 TAZEWELL RD STE 203, TAZEWELL, TN 37879-3648
(423) 259-3701
(866) 954-5783
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3903
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042576
—
TN
Enumeration date
05/25/2017
Last updated
04/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us