# ROBERT R LANGFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386799054
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085008529 | IL | — |
| 363A00000X | Physician Assistant | 2153 | GA | Yes |
| 363AS0400X | Surgical Physician Assistant | 2153 | GA | — |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 01/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 051593530A | — | GA |
| 01 | — | 970002274 | RR MEDICARE | GA |