Samantha Broussard, DC is a
Chiropractor based in Chattahoochee Hills, Georgia. Samantha Broussard is licensed to practice in Georgia (license number CHIR010870) and her current practice location is
11134 Serenbe Ln Ste 100, Chattahoochee Hills, Georgia. She can be reached at her office (for appointments etc.) via phone at
(910) 795-7815.
NPI number for Samantha Broussard is 1952013104 and her current mailing address is 11134 Serenbe Ln Ste 100, Chattahoochee Hills, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952013104.
Healthcare Provider's Profile
Full Name | Samantha Broussard |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 11134 Serenbe Ln Ste 100, Chattahoochee Hills, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952013104
- Provider Enumeration Date: 12/20/2022
- Last Update Date: 12/20/2022
Medical Identifiers
Medical identifiers for Samantha Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952013104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CHIR010870 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Broussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Broussard, DC 11134 Serenbe Ln Ste 100, Chattahoochee Hills, GA 30268-2546 Ph: (910) 795-7815 | Samantha Broussard, DC 11134 Serenbe Ln Ste 100, Chattahoochee Hills, GA 30268-2546 Ph: (910) 795-7815 |
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