MEDICARE: DR. CRAIG SINGLETON DC

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	111N00000X	Chiropractor	CHIR009810	GA

General Provider Information

NPI Number	:	1083134043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG SINGLETON DC

Provider Business Mailing Address
First Line	:	1675 ROSWELL RD APT 1235
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-3664
Country	:	US
Telephone Number	:	770-366-8491
Fax Number	:

Provider Business Practice Location Address
First Line	:	1965 N PARK PL SE # 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2004
Country	:	US
Telephone Number	:	404-855-2141
Fax Number	:

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

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	06/21/2017

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