Individual
SAMANTHA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
500 AMSTERDAM AVE NE, ATLANTA, GA 30306-3470
(910) 795-7815
Mailing address
500 AMSTERDAM AVE NE, ATLANTA, GA 30306-3470
(910) 795-7815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010870
GA
Other
Enumeration date
12/20/2022
Last updated
04/02/2026
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