Provider Demographics
NPI:1588001069
Name:BATT, SAMARA MAE (DC, BS)
Entity type:Individual
Prefix:DR
First Name:SAMARA
Middle Name:MAE
Last Name:BATT
Suffix:
Gender:F
Credentials:DC, BS
Other - Prefix:DR
Other - First Name:SAMARA
Other - Middle Name:
Other - Last Name:WARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, BS
Mailing Address - Street 1:330 E 5TH NORTH ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-0702
Mailing Address - Country:US
Mailing Address - Phone:843-376-7024
Mailing Address - Fax:
Practice Address - Street 1:330 E 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483
Practice Address - Country:US
Practice Address - Phone:843-376-7024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA582608462OtherUNITED HEALTH CARE