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Miss Heather Lynn Widell, PA-C
Medical Physician Assistant in Robins Afb, Georgia
NPI 1902216377

Heather Lynn Widell is a Medical Physician Assistant based in Robins Afb, GA and is specialized in Medical. Heather Lynn Widell practices in Robins Afb, GA and has the professional credentials of PA-C. The NPI Number for Heather Lynn Widell is 1902216377 and holds a License No. (Georgia).

The current practice location address for Heather Lynn Widell is 655 7Th St Bldg 700, Robins Afb, GA and can be reached out via phone at 478-327-7758 and via fax at 478-327-7585.

Location: 655 7Th St Bldg 700, Robins Afb, GA, 31098-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902216377
Provider Name
Heather Lynn Widell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
655 7Th St Bldg 700, Robins Afb, GA, 31098-2227
Phone Number
478-327-7758
Fax Number
478-327-7585
Provider Enumeration Date
05/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
655 7Th St Bldg 700
City
Robins Afb
State
Georgia
Zip
31098-2227
Phone Number
478-327-7758
Fax Number
478-327-7585
person
Provider Business Mailing Address Details
Address
655 7Th St Bldg 700
City
Robins Afb
State
Georgia
Zip
31098-2227
Phone Number
478-327-7758
Fax Number
478-327-7585
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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