Dr Stephan Micheal Langston, DC | |
403 Ridley Ave, Lagrange, GA 30240-2231 | |
(706) 882-1000 | |
(706) 882-1070 |
Full Name | Dr Stephan Micheal Langston |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 21 Years |
Location | 403 Ridley Ave, Lagrange, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669436416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR007612 (Georgia) | Primary |
Provider Name | Lagrange Clinic Of Chiropractic Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346452596 PECOS PAC ID: 4587604491 Enrollment ID: O20050510001110 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephan Micheal Langston, DC 403 Ridley Ave, Lagrange, GA 30240-2231 Ph: (706) 882-1000 | Dr Stephan Micheal Langston, DC 403 Ridley Ave, Lagrange, GA 30240-2231 Ph: (706) 882-1000 |
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