Individual ProviderKimberly Anne VaccaroChiropractorChiropractic ProvidersPractice Address5101 Old Hwy 5, Suite 1, Woodstock, GA 30188(678) 494-6735PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Anne Vaccaro 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 ID1427261957Provider TypeIndividualFull NameVaccaro, Kimberly AnneTitleMs.CredentialDCGenderFemaleSole ProprietorNoEnumeration Date5/8/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5101 Old Hwy 5, Suite 1, Woodstock, GA 30188Phone(678) 494-6735Fax(678) 494-6737Mailing LocationMailing AddressPO Box 2031, Acworth, GA 30102Phone(678) 494-6735Fax(678) 494-6737Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense4718GeorgiaProvider IdentifiersIDDescriptionIssuerID00804207ADescriptionMedicaidIssuerUnlistedGeorgiaID4718DescriptionOtherIssuerCHIROPRACTICGeorgia