Individual
BERNARD LEROY LANGSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 HOLDEN BEACH RD SW, SUPPLY, NC 28462-5702
(910) 842-5991
(910) 842-5994
Mailing address
2930 HOLDEN BEACH RD SW, SUPPLY, NC 28462-5702
(910) 842-5991
(910) 842-5994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27938
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8950904
—
NC
Enumeration date
03/10/2006
Last updated
05/03/2017
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