Look up the most recent NPI and PECOS records

Zen Holistic Health Center

(<Unavail>)

Chiropractor

Chiropractic Providers

228 Creekstone Rdg, Woodstock, GA 30188-3732

PECOS Enrollment

Based on the most recent information from CMS, provider Zen Holistic Health Center 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
1760642904
Provider Type
Organization
Full Name
Zen Holistic Health Center
Other Name
<Unavail>

Subpart
No
Enumeration Date
6/11/2008
Last Updated
6/11/2008

Contact Information

Practice Location

228 Creekstone Rdg, Woodstock, GA 30188-3732

(770) 926-0171

Unlisted Fax

Mailing Location

228 Creekstone Rdg, Woodstock, GA 30188-3732

(770) 926-0171

Unlisted Fax

Authorized Official

Dixon, Jodi Anne (Chiropractor)

(404) 808-9517

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIRO08106 Georgia

Zen Holistic Health Center

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Nadel, Brett D.

Schones, Richard

Abouhaif, Khaled M

Moss, Michael V

Mccormick, Kelly A

Next Gen Health Center Llc

Mallamace, Monica

Functional Fitness, Llc

Pain And Accident Chiropractic-Woodstock Llc

Dimartino, Robert Vincent