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Organization

LANGLEY FAMILY PRACTICE P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAWN TRACT LANGLEY PA-C (PHYSICIAN ASSISTANT)
(910) 844-8150
Entity
Organization

Contact information

Practice address
22401 ANDREW JACKSON HWY, MAXTON, NC 28364-6721
(910) 844-8150
(910) 844-8149
Mailing address
22401 ANDREW JACKSON HWY, MAXTON, NC 28364-6721
(910) 844-8150
(910) 844-8149

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102637
NC

Other

Enumeration date
05/06/2009
Last updated
05/06/2009
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