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Individual

STEPHEN JOSEPH LANGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2790 GODWIN BLVD STE 305, SUFFOLK, VA 23434-8158
(757) 934-4222
(757) 934-4111
Mailing address
2790 GODWIN BLVD STE 305, SUFFOLK, VA 23434-8158
(757) 934-4222
(757) 934-4111

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
045080
GA
208600000X
Surgery Physician
Primary
0101261569
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000924976D
GA
01
P00261331
RAILROAD MEDICARE
GA
Enumeration date
08/21/2006
Last updated
03/28/2022
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