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Individual

DR. STEPHAN MICHEAL LANGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
403 RIDLEY AVE, LAGRANGE, GA 30240-2231
(706) 882-1000
(706) 882-1070
Mailing address
403 RIDLEY AVE, LAGRANGE, GA 30240-2231
(706) 882-1000
(706) 882-1070

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007612
GA

Other

Enumeration date
04/17/2006
Last updated
07/08/2007
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