Langley Family Practice P a

Organization Active NPI Medical Physician Assistant · Maxton, NC

NPI 1255565255 · NPPES record last updated May 6, 2009

Key facts

NPI
1255565255
Entity type
Organization (NPI type 2)
Primary specialty
Medical Physician Assistant 363AM0700X
License
102637 (NC)
Legal business name
LANGLEY FAMILY PRACTICE P A
Practice address
22401 Andrew Jackson Hwy
Maxton, NC 28364-6721
Phone
(910) 844-8150
Fax
(910) 844-8149
NPI assigned
May 6, 2009
Organization subpart
No

Authorized official

Name
Ms. Dawn Tract Langley, PA-C
Title
Physician Assistant
Phone
(910) 844-8150

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363AM0700X 102637 NC Yes

Addresses

Primary practice location

22401 Andrew Jackson Hwy
Maxton, NC 28364-6721

Mailing address

22401 Andrew Jackson Hwy
Maxton, NC 28364-6721
Phone (910) 844-8150

Other providers in Maxton, NC

All providers in Maxton, NC · Medical Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.