Individual
ROBERT R LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 S ENOTA DR NE STE 380, GAINESVILLE, GA 30501-3475
(770) 219-7099
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085008529
IL
363A00000X
Physician Assistant
Primary
2153
GA
363AS0400X
Surgical Physician Assistant
2153
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051593530A
—
GA
01
—
970002274
RR MEDICARE
GA
Enumeration date
01/24/2007
Last updated
01/10/2025
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