Individual ProviderAngela M. HendersonChiropractorChiropractic ProvidersPractice Address4992 Old Hwy #5, Woodstock, GA 30188(770) 592-1986(770) 720-8346PECOS EnrollmentBased on the most recent information from CMS, provider Angela M. Henderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1245311364Provider TypeIndividualFull NameHenderson, Angela M.TitleDr.CredentialD.C.GenderFemaleSole ProprietorYesEnumeration Date10/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4992 Old Hwy #5, Woodstock, GA 30188Phone(770) 592-1986FaxUnlisted FaxMailing LocationMailing Address218 Whitestone Dr, Canton, GA 30115-4189Phone(770) 720-8346FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR006198Georgia