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Individual

DR. MAX R. LANGHAM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105
(901) 287-6760
Mailing address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
(901) 287-6031

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD40078
TN
2086S0120X
Pediatric Surgery Physician
Primary
MD40078
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158146001
AR
05
3333367
TN
Enumeration date
05/18/2006
Last updated
07/05/2018
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