Provider Demographics
NPI:1427815216
Name:CRANE, GILLIAN JOI (DC)
Entity type:Individual
Prefix:DR
First Name:GILLIAN
Middle Name:JOI
Last Name:CRANE
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 1:16 PERTHSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1416
Mailing Address - Country:US
Mailing Address - Phone:847-828-2723
Mailing Address - Fax:
Practice Address - Street 1:502 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3533
Practice Address - Country:US
Practice Address - Phone:678-400-4299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor