Look up the most recent NPI and PECOS records

Cleary Family Chiropractic Llc

Chiropractor

Chiropractic Providers

246 Creekstone Rdg, Woodstock, GA 30188-3732

PECOS Enrollment

Based on the most recent information from CMS, provider Cleary Family Chiropractic 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
1497012298
Provider Type
Organization
Full Name
Cleary Family Chiropractic Llc

Subpart
No
Enumeration Date
4/18/2012
Last Updated
2/6/2013

Contact Information

Practice Location

246 Creekstone Rdg, Woodstock, GA 30188-3732

(585) 455-9576

(678) 494-9771

Mailing Location

246 Creekstone Rdg, Woodstock, GA 30188-3732

(585) 455-9576

(678) 494-9771

Authorized Official

Cleary, Matthew Brooks (Owner)

(585) 455-9576

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 008848 Georgia
Code 261Q00000X	Description Clinic/Center Ambulatory Health Care Facilities	License 008848 New York

Cleary Family Chiropractic Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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License

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