OrganizationBack To Basic Health ChiropracticChiropractorChiropractic ProvidersPractice Address5101 Old Hwy 5, Suite 1, Woodstock, GA 30188(678) 494-6735PECOS EnrollmentBased on the most recent information from CMS, provider Back To Basic Health 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 ID1770796203Provider TypeOrganizationFull NameBack To Basic Health ChiropracticSubpartNoEnumeration Date5/8/2007Last Updated10/20/2010Contact InformationPractice LocationPractice Address5101 Old Hwy 5, Suite 1, Woodstock, GA 30188Phone(678) 494-6735Fax(678) 494-6737Mailing LocationMailing AddressPO Box 2031, Acworth, GA 30102Phone(678) 494-6735Fax(678) 494-6737Authorized OfficialNameVaccaro, Kimberly Anne (Owner)Phone(678) 494-6735Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense4718GeorgiaProvider IdentifiersIDDescriptionIssuerID4718DescriptionOtherIssuerCHIROPRACTICID00804207ADescriptionMedicaidIssuerUnlistedGeorgia