Individual ProviderMark RichardsChiropractorChiropractic ProvidersPractice Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843(770) 517-2240(716) 622-2453PECOS EnrollmentBased on the most recent information from CMS, provider Mark Richards 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 ID1386041556Provider TypeIndividualFull NameRichards, MarkTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date12/3/2014Last Updated12/3/2014Contact InformationPractice LocationPractice Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843Phone(770) 517-2240FaxUnlisted FaxMailing LocationMailing Address124 Hidden Creek Dr, Canton, GA 30114-1290Phone(716) 622-2453FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR009420Georgia