Individual
DR. WILLIAM COTTRELL LANG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3193 HOWELL MILL RD NW, SUITE 110, ATLANTA, GA 30327-2119
(404) 352-0444
(404) 352-2529
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPARTMENT, ALPHARETTA, GA 30005-5462
(770) 300-0101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
012509
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000922061J
—
GA
01
—
300027801
RAILROAD MEDICARE
GA
01
—
P00092169
RAILROAD MEDICARE
GA
Enumeration date
11/02/2005
Last updated
05/19/2008
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