MEDICARE: MS. ELIZABETH HOBBS LANGSTON MS, RD, LDN, CDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L002701	NC

General Provider Information

NPI Number	:	1174773840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH HOBBS LANGSTON MS, RD, LDN, CDE

Provider Business Mailing Address
First Line	:	1600 PERIMETER PARK DR
Second Line	:	SUITE 225
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5317 HIGHGATE DR
Second Line	:	SUITE #117
City	:	DURHAM
State	:	NC
Zip	:	27713-6622
Country	:	US
Telephone Number	:	919-361-2644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2008
Last Update Date	:	02/25/2014

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