Provider Demographics
NPI:1396838256
Name:MARLOW, CRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:MARLOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 CLEVELAND HWY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-2314
Mailing Address - Country:US
Mailing Address - Phone:706-529-9355
Mailing Address - Fax:706-529-7735
Practice Address - Street 1:1716 CLEVELAND HWY
Practice Address - Street 2:SUITE 700
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-2314
Practice Address - Country:US
Practice Address - Phone:706-529-9355
Practice Address - Fax:706-529-7735
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA90-1028536OtherTAX ID
GA90-1028536OtherTAX ID