Individual
JONATHAN LAWRENCE LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
SHALLOTTE MEDICAL CENTER INC, 341A WHITEVILLE RD, SHALLOTTE, NC 28470
(910) 754-8731
(910) 754-3153
Mailing address
SHALLOTTE MEDICAL CENTER INC, PO BOX 2561, SHALLOTTE, NC 28459
(910) 754-8731
(910) 754-3153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100214
NC
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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