Individual ProviderDominique Matthew ScottChiropractorChiropractic ProvidersPractice Address14200 Highway 92, Woodstock, GA 30188-7139(677) 819-7658(310) 376-5433PECOS EnrollmentBased on the most recent information from CMS, provider Dominique Matthew Scott 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 ID1932283439Provider TypeIndividualFull NameScott, Dominique MatthewTitleDr.GenderMaleSole ProprietorNoEnumeration Date10/24/2006Last Updated3/7/2025Contact InformationPractice LocationPractice Address14200 Highway 92, Woodstock, GA 30188-7139Phone(677) 819-7658FaxUnlisted FaxMailing LocationMailing AddressPO Box 549, Chanhassen, MN 55317-0549Phone(310) 376-5433FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIR010268GeorgiaCode111N00000XDescriptionChiropractorChiropractic ProvidersLicenseDC25377California