OrganizationAlliance Spine And Physical MedicineChiropractorChiropractic ProvidersPractice Address12045 Highway 92, Woodstock, GA 30188-4499(404) 934-7367PECOS EnrollmentBased on the most recent information from CMS, provider Alliance Spine And Physical Medicine 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 ID1306672902Provider TypeOrganizationFull NameAlliance Spine And Physical MedicineSubpartNoEnumeration Date9/10/2024Last Updated9/10/2024Contact InformationPractice LocationPractice Address12045 Highway 92, Woodstock, GA 30188-4499Phone(404) 934-7367FaxUnlisted FaxMailing LocationMailing Address105 Waters Edge Dr, Woodstock, GA 30188-5695Phone(404) 934-7367FaxUnlisted FaxAuthorized OfficialNameZoeller, Michael (Owner)Phone(678) 469-6939Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer