Organization
BOUCHER FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA LAVENGOOD BOUCHER D.C. (CHIROPRACTOR)
(678) 896-6680
Entity
Organization
Contact information
Practice address
5447 POWDER SPRINGS DALLAS RD SW, HIRAM, GA 30141-6303
(770) 943-6262
Mailing address
45 DARBYS CROSSING DR STE 121, HIRAM, GA 30141-6052
(678) 896-6680
(678) 606-2747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009132
GA
Other
Enumeration date
05/15/2013
Last updated
03/04/2024
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