Patricia Di Benedetto | Woodstock, GA • PECOS Search

Patricia Di Benedetto

Chiropractor

Chiropractic Providers

1607 Skyridge Dr, Woodstock, GA 30188-3965

PECOS Enrollment

Based on the most recent information from CMS, provider Patricia Di Benedetto 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
1407226426
Provider Type
Individual
Full Name
Di Benedetto, Patricia
Credential
DC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/2/2015
Last Updated
10/5/2015

Contact Information

Practice Location

1607 Skyridge Dr, Woodstock, GA 30188-3965

Unlisted Fax

Mailing Location

PO Box 428, Waleska, GA 30183-0428

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIR009478 Georgia