Provider Demographics
NPI:1891970984
Name:LANG, JOHN JOSEPH III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:LANG
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3805 THISTLE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-7420
Mailing Address - Country:US
Mailing Address - Phone:901-384-3652
Mailing Address - Fax:901-384-3652
Practice Address - Street 1:3805 THISTLE RIDGE LN
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-7420
Practice Address - Country:US
Practice Address - Phone:901-384-3652
Practice Address - Fax:901-384-3652
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN29031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine