Individual
EMILY LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 CHARTER BLVD, SUITE 400, MACON, GA 31210-4892
(478) 471-0710
Mailing address
540 CHARTER BLVD, SUITE 400, MACON, GA 31210-4892
(478) 471-0710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002119
GA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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