Provider Demographics
NPI:1780708560
Name:CRAWLEY, LINDSEY ALTON (DC)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ALTON
Last Name:CRAWLEY
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 1:301 LAKEMOORE DR NE
Mailing Address - Street 2:APT. D
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3842
Mailing Address - Country:US
Mailing Address - Phone:404-326-1010
Mailing Address - Fax:
Practice Address - Street 1:1624 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-2824
Practice Address - Country:US
Practice Address - Phone:404-781-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor