Individual
MICHAEL JOHN LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 PLANTATION PARK DRIVE, SUITE 202, BLUFFTON, SC 29910
(843) 706-2255
(843) 706-2257
Mailing address
PO BOX 2989, BLUFFTON, SC 29910
(843) 706-2255
(843) 706-2257
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101038939
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7531699
—
VA
01
—
CF8401
RAILROAD MEDICARE
VA
Enumeration date
06/26/2006
Last updated
12/19/2019
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