Provider Demographics
NPI:1477721330
Name:PETER R CRANTON, P.C.
Entity Type:Organization
Organization Name:PETER R CRANTON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:CRANTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-355-3455
Mailing Address - Street 1:2285 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1142
Mailing Address - Country:US
Mailing Address - Phone:404-355-3455
Mailing Address - Fax:404-355-3665
Practice Address - Street 1:2285 PEACHTREE RD NE
Practice Address - Street 2:SUITE 212
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1142
Practice Address - Country:US
Practice Address - Phone:404-355-3455
Practice Address - Fax:404-355-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU73985Medicare UPIN
GA35ZCGWWMedicare PIN