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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