JONATHAN LAWRENCE LANGSTON

SHALLOTTE, NC
NPI1265517122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  100214)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
JONATHAN LAWRENCE LANGSTON PAC
SHALLOTTE MEDICAL CENTER INC 341A WHITEVILLE RD
SHALLOTTE, NC 28470
Phone number: 910-754-8731
Mailing Address
JONATHAN LAWRENCE LANGSTON PAC
SHALLOTTE MEDICAL CENTER INC PO BOX 2561
SHALLOTTE, NC 28459
Phone number: 910-754-8731