Jonathan Lawrence Langston, PAC

NPI #1265517122 in Shallotte, North Carolina

Provider Information

NPI Number
1265517122
Entity Type
Individual
Name
Jonathan Lawrence Langston, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
PAC
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
SHALLOTTE MEDICAL CENTER INC
Address 2
341A WHITEVILLE RD
ZIP Code
28470
Phone
(910) 754-8731

Specialties & Taxonomy Codes

Specialty
Family Medicine

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