Individual ProviderJacek CzerwinskiChiropractorChiropractic ProvidersPractice Address10917 Highway 92 Ste 160, Woodstock, GA 30188-6330(770) 592-1915PECOS EnrollmentBased on the most recent information from CMS, provider Jacek Czerwinski 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 ID1871238931Provider TypeIndividualFull NameCzerwinski, JacekTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date5/3/2022Last Updated8/5/2024Contact InformationPractice LocationPractice Address10917 Highway 92 Ste 160, Woodstock, GA 30188-6330Phone(770) 592-1915FaxUnlisted FaxMailing LocationMailing Address10917 Highway 92 Ste 160, Woodstock, GA 30188-6330Phone(770) 592-1915FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR010908GeorgiaCode111NS0005XDescriptionChiropractorChiropractic ProvidersLicenseDC-05163Ohio