Provider Demographics
NPI:1639345663
Name:SINGLETON, CONNIE DENISE (DC)
Entity Type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:DENISE
Last Name:SINGLETON
Suffix:
Gender:F
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:PO BOX 23196
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31403-3196
Mailing Address - Country:US
Mailing Address - Phone:912-963-6711
Mailing Address - Fax:912-963-6713
Practice Address - Street 1:10 HARRELL DR
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:GA
Practice Address - Zip Code:31408-2005
Practice Address - Country:US
Practice Address - Phone:912-963-6711
Practice Address - Fax:912-963-6713
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU93975Medicare UPIN
GA35ZCHDNMedicare PIN