Healthcare Provider Details
I. General information
NPI: 1952348492
Provider Name (Legal Business Name): FRANCIS P. J. LANGFORD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/01/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
645 AMALIA ST NE
CONCORD NC
28025-2434
US
IV. Provider business mailing address
6035 FAIRVIEW RD
CHARLOTTE NC
28210-3256
US
V. Phone/Fax
- Phone: 704-295-3255
- Fax: 704-295-3279
- Phone: 704-295-3000
- Fax: 704-295-3468
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 9500387 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YS0123X |
| Taxonomy | Facial Plastic Surgery Physician |
| License Number | 95-00387 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: