| NPI | 1215351291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W LANGFORD Sole Owner Of LLC Md 478-607-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 61452) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2023-05-16 |