Individual ProviderMatthew EisenChiropractorChiropractic ProvidersPractice Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843(770) 517-2240(404) 444-4410PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Eisen 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 ID1336264852Provider TypeIndividualFull NameEisen, MatthewTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date3/21/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843Phone(770) 517-2240Fax(770) 517-2286Mailing LocationMailing Address119 Towey Trl, Woodstock, GA 30188-7057Phone(404) 444-4410FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense007877Georgia