Individual
BLAIRE JENKINS LANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 600, CHARLOTTE, NC 28204-2963
(704) 355-8816
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08187
NC
Other
Enumeration date
07/27/2018
Last updated
07/22/2024
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