Individual ProviderMichael V MossChiropractorChiropractic ProvidersPractice Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843(770) 517-2240PECOS EnrollmentBased on the most recent information from CMS, provider Michael V Moss 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 ID1689091902Provider TypeIndividualFull NameMoss, Michael VTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date3/25/2014Last Updated3/25/2014Contact InformationPractice LocationPractice Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843Phone(770) 517-2240FaxUnlisted FaxMailing LocationMailing Address180 Towne Lake Pkwy, Woodstock, GA 30188-4843Phone(770) 517-2240FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR009202Georgia