OrganizationActive ChiropracticChiropractorChiropractic ProvidersPractice Address3410 Six Forks Road, Raleigh, NC 27609-8521(919) 832-3365PECOS EnrollmentBased on the most recent information from CMS, provider Active 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 yesterday at 11:51 AM.Profile DetailsProvider ID1407194517Provider TypeOrganizationFull NameActive ChiropracticSubpartNoEnumeration Date1/24/2013Last Updated7/21/2022Contact InformationPractice LocationPractice Address3410 Six Forks Road, Raleigh, NC 27609-8521Phone(919) 832-3365Fax(919) 832-8259Mailing LocationMailing Address3410 Six Forks Road, Raleigh, NC 27609-8521Phone(919) 832-3365Fax(919) 832-8259Authorized OfficialNameHall, Molly B (Owner / Provider)Phone(919) 832-3365Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3394North Carolina