MEDICARE: PETER R CRANTON, P.C.

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	006268	GA

General Provider Information

NPI Number	:	1477721330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER R CRANTON, P.C.

Provider Business Mailing Address
First Line	:	2285 PEACHTREE RD NE
Second Line	:	SUITE 212
City	:	ATLANTA
State	:	GA
Zip	:	30309-1142
Country	:	US
Telephone Number	:	404-355-3455
Fax Number	:	404-355-3665

Provider Business Practice Location Address
First Line	:	2285 PEACHTREE RD NE
Second Line	:	SUITE 212
City	:	ATLANTA
State	:	GA
Zip	:	30309-1142
Country	:	US
Telephone Number	:	404-355-3455
Fax Number	:	404-355-3665

Authorized Official
Title or Position	:	PRESIDENT / DOCTOR
Name	:	DR. PETER ROY CRANTON
Credential	:	D.C.
Telephone Number	:	404-355-3455

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	02/13/2008

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