Individual
ANDREW STEVEN ELLIOTT LANGILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(855) 691-9890
Mailing address
1412A MEHARRY BLVD, NASHVILLE, TN 37208-3023
(908) 240-4643
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4736
TN
207Q00000X
Family Medicine Physician
4736
TN
207R00000X
Internal Medicine Physician
4736
TN
208000000X
Pediatrics Physician
4736
TN
208100000X
Physical Medicine & Rehabilitation Physician
4736
TN
2085R0202X
Diagnostic Radiology Physician
4736
TN
208600000X
Surgery Physician
4736
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
06/07/2024
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