Basic Information
Provider Information
NPI: 1952348492
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANGFORD
FirstName: FRANCIS
MiddleName: P. J.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6035 FAIRVIEW RD
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282103256
CountryCode: US
TelephoneNumber: 7042953000
FaxNumber: 7042953468
Practice Location
Address1: 645 AMALIA ST NE
Address2:  
City: CONCORD
State: NC
PostalCode: 280252434
CountryCode: US
TelephoneNumber: 7042953255
FaxNumber: 7042953279
Other Information
ProviderEnumerationDate: 06/01/2006
LastUpdateDate: 04/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207YS0123X95-00387NCY Allopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery

ID Information
IDTypeStateIssuerDescription
5081201NCBCBSNCOTHER
895081205NC MEDICAID
P0090994301NCRAILROAD MEDICAREOTHER
3010053301SCSELECT HEALTH OF SCOTHER
660829201NCAETNA HMOOTHER
Q0038L05SC MEDICAID
548500601NCAETNAOTHER


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