Look up the most recent NPI and PECOS records

Functional Fitness, Llc

Chiropractor

Chiropractic Providers

244 Creekstone Rdg, Woodstock, GA 30188-3732

PECOS Enrollment

Based on the most recent information from CMS, provider Functional Fitness, Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1386888964
Provider Type
Organization
Full Name
Functional Fitness, Llc

Subpart
No
Enumeration Date
4/27/2009
Last Updated
4/27/2009

Contact Information

Practice Location

244 Creekstone Rdg, Woodstock, GA 30188-3732

(678) 494-9668

(678) 494-9771

Mailing Location

244 Creekstone Rdg, Woodstock, GA 30188-3732

(678) 494-9668

(678) 494-9771

Authorized Official

Addison, Jason Floyd (Chiropractor)

(678) 494-9668

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 008428 Georgia

Functional Fitness, Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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Nadel, Brett D.

Czerwinski, Jacek

Cleary, Matthew B

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Mccormick, Kelly A

Atlas Orthogonal Chiropractic