Healthcare Provider Details
I. General information
NPI: 1891793717
Provider Name (Legal Business Name): FRANKLIN RICHARD LANG JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2005
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US
IV. Provider business mailing address
5220 GREENS DAIRY RD
RALEIGH NC
27616-4612
US
V. Phone/Fax
- Phone: 828-778-9178
- Fax:
- Phone: 919-256-3576
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 36211 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 36211 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: