Individual
DAVINA LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 660-2952
Mailing address
167 LEE ROAD 2133, VALLEY, AL 36854-6370
(334) 710-9738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN181834
GA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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