Organization
LANGENBERG PLLC
Active
Organization
LANGENBERG PLLC
Active
Other names
Mark T. Langenberg, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TAYLOR LANGENBERG M.D. (OWNER)
(931) 823-5681
Entity
Organization
Contact information
Practice address
500 W MAIN ST, LIVINGSTON, TN 38570-1718
(931) 823-5681
(931) 823-8203
Mailing address
P. O. BOX 609, LIVINGSTON, TN 38570
(931) 823-5681
(931) 823-8203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35093
TN
208000000X
Pediatrics Physician
35093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379686
—
TN
Enumeration date
06/22/2007
Last updated
08/31/2007
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