Individual ProviderCourtney ManiatisInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1192 Buckhead Xing, Suite C, Woodstock, GA 30189-4254(678) 238-0301PECOS EnrollmentBased on the most recent information from CMS, provider Courtney Maniatis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1780881862Provider TypeIndividualFull NameManiatis, CourtneyCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date7/2/2007Last Updated5/19/2011Contact InformationPractice LocationPractice Address1192 Buckhead Xing, Suite C, Woodstock, GA 30189-4254Phone(678) 238-0301Fax(678) 238-0323Mailing LocationMailing Address1192 Buckhead Xing, Suite C, Woodstock, GA 30189-4254Phone(678) 238-0301Fax(678) 238-0323Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense63919GeorgiaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense63919Georgia