Physician Compare National (NPI:1356341614)

HEALTHCARE PROVIDER: GUY HARRIS LANGLO DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356341614
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002973427
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090330000166
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LANGLO
	Individual professional last name
Provider First Name	GUY
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 PROFESSIONAL PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	CARROLLTON
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	301173827
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TANNER MEDICAL CENTER - CARROLLTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110015
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TANNER MEDICAL CENTER VILLA RICA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y