DOUGLAS B WIDENER

CANTON, GA
NPI1104088566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: GA  063452)
Enumeration Date2008-06-27
Last Update Date2020-09-15
Business Address
Dr. DOUGLAS B WIDENER M.D.
1495 HICKORY FLAT HWY STE 200
CANTON, GA 30115-4229
Phone number: 678-505-4455
Mailing Address
Dr. DOUGLAS B WIDENER M.D.
1495 HICKORY FLAT HWY STE 200
CANTON, GA 30115-4229
Phone number: 678-505-4455
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