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Individual

KATHERINE JANE LANGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303
(864) 560-7025
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40747
SC
207P00000X
Emergency Medicine Physician
ME127680
FL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
40747
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017716300
FL
05
407474
SC
01
SCA9897628
MEDICARE
SC
01
SCA9898510
MEDICARE PIN
SC
01
SCA9899068
MEDICARE
SC
01
SCA989H888
MEDICARE PIN
SC
Enumeration date
03/28/2013
Last updated
03/29/2023
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