Healthcare Provider Details

I. General information

NPI: 1962317008
Provider Name (Legal Business Name): CHRISTOPHER LANGDON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E MAIN ST
DURHAM NC
27701-3640
US

IV. Provider business mailing address

3605 GLIDEWELL CT
DURHAM NC
27707-6044
US

V. Phone/Fax

Practice location:
  • Phone: 919-475-9135
  • Fax:
Mailing address:
  • Phone: 919-475-9135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberP048990
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: