DR. Samantha Lavengood Boucher, D.C.

NPI #1760827091 in Hiram, Georgia

Provider Information

NPI Number: 1760827091
Entity Type: Individual
Name: DR. Samantha Lavengood Boucher, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 30, 2013
Last Updated: Jan 27, 2024

Practice Location

Address: 45 DARBYS CROSSING DR STE 121
City: Hiram
State: Georgia
ZIP Code: 30141-6052
Phone: (770) 693-9757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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