Provider Demographics
NPI:1538246459
Name:LANGLEY, ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:REID
Other - Last Name:LANGLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1451 DOWELL SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2441
Mailing Address - Country:US
Mailing Address - Phone:865-970-9800
Mailing Address - Fax:865-374-7129
Practice Address - Street 1:423 MEDICAL PARK DR
Practice Address - Street 2:SUITE 400
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5640
Practice Address - Country:US
Practice Address - Phone:865-970-9800
Practice Address - Fax:865-988-9754
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000310342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN537257000OtherPREMIER
TN537257000OtherTBH
TN537257000OtherMAGELLAN
TN4060105OtherBLUE CROSS
TN537257000OtherTBH