Individual ProviderAnthony DimolaChiropractorChiropractic ProvidersPractice Address221 River Park North Dr, Woodstock, GA 30188-7835(770) 924-1995PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Dimola 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 ID1295780708Provider TypeIndividualFull NameDimola, AnthonyTitleDr.CredentialDCGenderMaleSole ProprietorYesEnumeration Date5/23/2006Last Updated12/27/2010Contact InformationPractice LocationPractice Address221 River Park North Dr, Woodstock, GA 30188-7835Phone(770) 924-1995Fax(770) 924-3930Mailing LocationMailing Address4515 Dennington Trce, Cumming, GA 30040-8551PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense5520Georgia