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Dr. Samantha Lavengood Boucher, DC
Chiropractor in Hiram, Georgia
NPI 1760827091

Samantha Lavengood Boucher is a Chiropractor based in Hiram, GA. Samantha Lavengood Boucher practices in Hiram, GA and has the professional credentials of DC. The NPI Number for Samantha Lavengood Boucher is 1760827091 and holds a License No. CHIR009132 (Georgia).

The current practice location address for Samantha Lavengood Boucher is 45 Darbys Crossing Dr Ste 121, Hiram, GA and can be reached out via phone at 770-693-9757 and via fax at 678-606-2747.

Location: 45 Darbys Crossing Dr Ste 121, Hiram, GA, 30141-6052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760827091
Provider Name
Samantha Lavengood Boucher
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
45 Darbys Crossing Dr Ste 121, Hiram, GA, 30141-6052
Phone Number
770-693-9757
Fax Number
678-606-2747
Provider Enumeration Date
04/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45 Darbys Crossing Dr Ste 121
City
Hiram
State
Georgia
Zip
30141-6052
Phone Number
770-693-9757
Fax Number
678-606-2747
person
Provider Business Mailing Address Details
Address
45 Darbys Crossing Dr Ste 121
City
Hiram
State
Georgia
Zip
30141-6052
Phone Number
770-693-9757
Fax Number
678-606-2747
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIR009132 (Georgia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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