OrganizationRaleigh Neck & Back Clinic PcChiropractorChiropractic ProvidersPractice Address104 W Millbrook Rd, Raleigh, NC 27609-4369(919) 676-2225PECOS EnrollmentBased on the most recent information from CMS, provider Raleigh Neck & Back Clinic Pc 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 4 days ago.Profile DetailsProvider ID1588738694Provider TypeOrganizationFull NameRaleigh Neck & Back Clinic PcSubpartNoEnumeration Date11/20/2006Last Updated12/6/2007Contact InformationPractice LocationPractice Address104 W Millbrook Rd, Raleigh, NC 27609-4369Phone(919) 676-2225FaxUnlisted FaxMailing LocationMailing Address104 W Millbrook Rd, Raleigh, NC 27609-4369PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameKuczmarski, Erin (Owner)Phone(919) 676-2225Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID890872CDescriptionMedicaidIssuerUnlistedNorth Carolina