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Dimola Famiily Chiropractic Inc

Chiropractor

Chiropractic Providers

221 River Park North Dr, Woodstock, GA 30188-7835

(770) 924-1995 (770) 889-8941

PECOS Enrollment

Based on the most recent information from CMS, provider Dimola Famiily Chiropractic Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1164633863
Provider Type
Organization
Full Name
Dimola Famiily Chiropractic Inc

Subpart
No
Enumeration Date
5/24/2007
Last Updated
1/23/2023

Contact Information

Practice Location

221 River Park North Dr, Woodstock, GA 30188-7835

(770) 924-1995

Unlisted Fax

Mailing Location

4515 Dennington Trce, Cumming, GA 30040-8551

(770) 889-8941

(770) 924-3930

Authorized Official

Dimola, Anthony (Chiropractor)

(770) 924-1995

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIR005520 Georgia

Dimola Famiily Chiropractic Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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Wesemeyer, Gabrielle Ruth

Pealor, Melissa

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