OrganizationCreekside Family ChiropracticChiropractorChiropractic ProvidersPractice Address5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2447(770) 744-8393PECOS EnrollmentBased on the most recent information from CMS, provider Creekside Family Chiropractic 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 ID1730638438Provider TypeOrganizationFull NameCreekside Family ChiropracticSubpartNoEnumeration Date9/23/2016Last Updated9/23/2016Contact InformationPractice LocationPractice Address5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2447Phone(770) 744-8393FaxUnlisted FaxMailing LocationMailing Address5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2447Phone(770) 744-8393FaxUnlisted FaxAuthorized OfficialNameStrange, Mary (Owner/ Chiropractic)Phone(770) 744-8393Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR008221Georgia