Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Wade Widner, DO

Individual provider Pediatrics Physician · NPI 1225566953

Dr. Justin Wade Widner, DO is a Pediatrics Physician in Tazewell, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1610 Tazewell Rd Ste 203
Tazewell, TN 37879-3648
Phone: (423) 259-3701
Fax: (866) 954-5783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 3903 (TN)

Record details

NPI number1225566953
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2017
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022
Mailing addressPo Box 15004, Knoxville, TN 37901-5004

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