OrganizationAtlas Orthogonal Chiropractic(<Unavail>)ChiropractorChiropractic ProvidersPractice Address7828 Hickory Flat Hwy Ste 130, Woodstock, GA 30188-6578(770) 998-7774PECOS EnrollmentBased on the most recent information from CMS, provider Atlas Orthogonal Chiropractic 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 ID1346303831Provider TypeOrganizationFull NameAtlas Orthogonal ChiropracticOther Name<Unavail>SubpartNoEnumeration Date12/18/2006Last Updated5/9/2014Contact InformationPractice LocationPractice Address7828 Hickory Flat Hwy Ste 130, Woodstock, GA 30188-6578Phone(770) 998-7774FaxUnlisted FaxMailing LocationMailing Address7828 Hickory Flat Hwy. #130, Woodstock, GA 30188-3631Phone(770) 998-7774FaxUnlisted FaxAuthorized OfficialNameBraddon, Mitchell (Owner)Phone(770) 998-7774Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIRO004968GeorgiaProvider IdentifiersIDDescriptionIssuerID543858DescriptionOtherIssuerBLUE CROSS BLUE SHIELDGeorgia