Boucher Family Chiropractic, Llc

NPI 1073959227 - Chiropractor - 111N00000X

NPI Details
NPI 1073959227
Enumeration Date 05/15/2013
Last Updated 05/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SAMANTHA LAVENGOOD SAMANTHA
Position CHIROPRACTOR
Phone (770) 943-6262
Fax
Practice Location
5447 POWDER SPRINGS DALLAS RD SW
HIRAM GA, 30141-6303, US
Phone (770) 943-6262
Fax
Business Location
5447 POWDER SPRINGS DALLAS RD SW
HIRAM GA, 30141-6303, US
Phone (770) 943-6262
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR009132
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According to our database, Boucher Family Chiropractic, Llc NPI is 1073959227, taxonomy code is 111N00000X and license number is CHIR009132, license state is located at Georgia. Boucher Family Chiropractic, Llc physically located at 5447 Powder Springs Dallas Rd Sw, Hiram GA, 30141-6303. NPI Number 1033115704 has the healthcare provider type.

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1073959227 NPI number is provided on an as is basis without warranty of any kind. 1073959227 is maintained by the National Plan & Provider Enumeration System. The contents of Boucher Family Chiropractic, Llc are for informational purposes only.