| Boucher Family Chiropractic, Llc | |
|
5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 | |
| (770) 943-6262 | |
| Not Available |
| Full Name | Boucher Family Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5447 Powder Springs Dallas Rd Sw, Hiram, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073959227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009132 (Georgia) | Primary |
| Provider Name | Samantha Lavengood Boucher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760827091 PECOS PAC ID: 0042459810 Enrollment ID: I20130627000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Boucher Family Chiropractic, Llc 45 Darbys Crossing Dr Ste 121, Hiram, GA 30141-6052 Ph: (678) 896-6680 | Boucher Family Chiropractic, Llc 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 Ph: (770) 943-6262 |
Dr. Chris Dana Lockerman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1899 Lake Rd, Suite 113, Hiram, GA 30141 Phone: 678-384-0220 Fax: 678-384-0223 | |
Dr. Angel Tribuno, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 44 Darbys Crossing Dr, Suite 102a, Hiram, GA 30141 Phone: 770-439-8393 Fax: 815-642-9045 | |
Dr. Beverly Lynn Martin, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 5604 Wendy Bagwell Pkwy Ste 311, Hiram, GA 30141 Phone: 770-222-5881 Fax: 770-222-5883 | |
Dr. Jordan Scott Haugh, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3655 Macland Rd, Suite C, Hiram, GA 30141 Phone: 770-439-6063 | |
Dr. Matthew P Schooley, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141 Phone: 770-943-6262 Fax: 678-567-5601 | |
Associated Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3968 Jl Smith Pkwy, Ste 106, Hiram, GA 30141 Phone: 770-943-5833 Fax: 770-943-1281 |