Provider Demographics
NPI:1780029298
Name:HORNICK, SAMANTHA JOANN (DC)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:JOANN
Last Name:HORNICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PARK OF COMMERCE BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-7410
Mailing Address - Country:US
Mailing Address - Phone:912-777-3717
Mailing Address - Fax:
Practice Address - Street 1:2 PARK OF COMMERCE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-7410
Practice Address - Country:US
Practice Address - Phone:912-777-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor