Provider Demographics
NPI:1215762901
Name:LANGLEY, CHRISTINA RENEE
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:RENEE
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 SATILLA SANDS DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31523-8258
Mailing Address - Country:US
Mailing Address - Phone:912-580-9033
Mailing Address - Fax:
Practice Address - Street 1:152 SATILLA SANDS DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31523-8258
Practice Address - Country:US
Practice Address - Phone:912-580-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide