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Larry A Widner, MD
Specialist in High Point, North Carolina
NPI 1215915210

Larry A Widner is a Specialist based in High Point, NC. Larry A Widner practices in High Point, NC and has the professional credentials of MD. The NPI Number for Larry A Widner is 1215915210 and holds a License No. 28380 (North Carolina).

The current practice location address for Larry A Widner is 624 Quaker Ln, High Point, NC and can be reached out via phone at 336-882-1416 and via fax at 336-882-7691.

Location: 624 Quaker Ln, High Point, NC, 27262-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215915210
Provider Name
Larry A Widner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
624 Quaker Ln, High Point, NC, 27262-5007
Phone Number
336-882-1416
Fax Number
336-882-7691
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8987271 05 NC
87271 01 NC BCBSNC
institution
Provider Business Practice Location Address Details
Address
624 Quaker Ln
City
High Point
State
North Carolina
Zip
27262-3832
Phone Number
336-882-1416
Fax Number
336-882-7691
person
Provider Business Mailing Address Details
Address
624 Quaker Ln
City
High Point
State
North Carolina
Zip
27262-3832
Phone Number
336-882-1416
Fax Number
336-882-7691
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
28380 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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