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Individual

JASON BOYD LANGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(229) 259-4678
Mailing address
55 GATLING WAY, LAKELAND, GA 31635-5270
(229) 344-5364

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN244679
GA

Other

Enumeration date
03/01/2022
Last updated
03/01/2022
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