Individual ProviderTiffany Lynn PetersonChiropractorChiropractic ProvidersPractice Address116 N Circle Dr, Rocky Mount, NC 27804-2401(252) 451-0039PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Lynn Peterson 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 2 days ago.Profile DetailsProvider ID1811066988Provider TypeIndividualFull NamePeterson, Tiffany LynnCredentialD.C.GenderFemaleSole ProprietorYesEnumeration Date11/6/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address116 N Circle Dr, Rocky Mount, NC 27804-2401Phone(252) 451-0039Fax(866) 801-5246Mailing LocationMailing Address116 N Circle Dr, Rocky Mount, NC 27804-2401Phone(252) 451-0039Fax(866) 801-5246Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3056North CarolinaProvider IdentifiersIDDescriptionIssuerID085GWDescriptionOtherIssuerBCBSNorth CarolinaID89085GWDescriptionMedicaidIssuerUnlistedNorth Carolina