Individual
SHANTE MARIE LANGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1962 VETERANS MEMORIAL DR STE A, BIRMINGHAM, AL 35214-2048
(205) 834-8240
Mailing address
2745 MOORE RD, ADAMSVILLE, AL 35005-1500
(205) 243-5793
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
116180
AL
335E00000X
Prosthetic/Orthotic Supplier
Primary
116180
AL
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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