Activate Your Health Chiropractic And Wellness Center, Llc.

Chiropractor

Chiropractic Providers

139 Village Ctr W Ste 110, Woodstock, GA 30188-5434

PECOS Enrollment

Based on the most recent information from CMS, provider Activate Your Health Chiropractic And Wellness Center, Llc. 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
1912244450
Provider Type
Organization
Full Name
Activate Your Health Chiropractic And Wellness Center, Llc.

Subpart
No
Enumeration Date
1/3/2013
Last Updated
7/21/2023

Contact Information

Practice Location

139 Village Ctr W Ste 110, Woodstock, GA 30188-5434

(678) 744-6022

(770) 212-2020

Mailing Location

139 Village Ctr W Ste 110, Woodstock, GA 30188-5434

(678) 744-6022

(770) 212-2020

Authorized Official

Meccia, Matthew Leone (Owner/Practitioner)

(678) 744-6022

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIR008540 Georgia

Activate Your Health Chiropractic And Wellness Center, Llc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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