Provider Demographics
NPI:1689649121
Name:DARLING, JILL LORREN (DC)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:LORREN
Last Name:DARLING
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 1:11 KIKER ST
Mailing Address - Street 2:
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30540
Mailing Address - Country:US
Mailing Address - Phone:706-698-9300
Mailing Address - Fax:706-698-9300
Practice Address - Street 1:11 KIKER ST
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-3758
Practice Address - Country:US
Practice Address - Phone:706-698-9300
Practice Address - Fax:706-698-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007764111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51074836OtherBCBS
GA52685875OtherBCBS
GA631135510OtherASH NETWORK