Individual ProviderKhaled M AbouhaifChiropractorChiropractic ProvidersPractice Address310 Gold Creek Trl, Ste 100, Woodstock, GA 30188-5403(770) 926-9495(770) 419-1028PECOS EnrollmentBased on the most recent information from CMS, provider Khaled M Abouhaif 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 ID1275562175Provider TypeIndividualFull NameAbouhaif, Khaled MTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date7/2/2006Last Updated2/16/2011Contact InformationPractice LocationPractice Address310 Gold Creek Trl, Ste 100, Woodstock, GA 30188-5403Phone(770) 926-9495Fax(770) 926-9284Mailing LocationMailing Address919 Dual Hall Ct, Powder Springs, GA 30127-6970Phone(770) 419-1028Fax(770) 419-1447Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR008019GeorgiaCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense2301007348MichiganProvider IdentifiersIDDescriptionIssuerID0980481DescriptionOtherIssuerHEALTHPLUSMichiganID350045598DescriptionOtherIssuerMEDICARE RAILROADMichiganID3334395DescriptionMedicaidIssuerUnlistedMichiganID133505DescriptionOtherIssuerPREFERRED CHOICESMichiganID383374689DescriptionOtherIssuerPPOMMichiganID1002612DescriptionOtherIssuerMCLAREN HEALTHMichiganID4400101DescriptionOtherIssuerPHYSICIANS HEALTHPLANMichiganID1016842-0001DescriptionOtherIssuerWELLNESSMichiganID5183617DescriptionOtherIssuerAETNAMichiganIDKA007348DescriptionOtherIssuerBCBSMMichigan