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Individual

DR. SAMANTHA POTRZEBOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
12040 ETRIS RD STE D120, ROSWELL, GA 30075-8016
(770) 645-1880
Mailing address
12040 ETRIS RD STE D120, ROSWELL, GA 30075-8016
(770) 645-1880

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009306
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CHIR009306
CHIROPRACTIC LICENSE
GA
Enumeration date
07/11/2017
Last updated
07/21/2022
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