Provider Demographics
NPI:1548954621
Name:LANGLEY, BRITTNEY MAE
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MAE
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 1:41 HARPER LN
Mailing Address - Street 2:
Mailing Address - City:HOKES BLUFF
Mailing Address - State:AL
Mailing Address - Zip Code:35903-0017
Mailing Address - Country:US
Mailing Address - Phone:256-201-2831
Mailing Address - Fax:
Practice Address - Street 1:41 HARPER LN
Practice Address - Street 2:
Practice Address - City:HOKES BLUFF
Practice Address - State:AL
Practice Address - Zip Code:35903-0017
Practice Address - Country:US
Practice Address - Phone:256-201-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
GA12471363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant