Individual provider · Type 1 NPI

Bethany Provencial, DC

Chiropractor · Dunwoody, GA

NPI number 1497638084 Active

Practice location

1709 Mount Vernon Rd Ste C
Dunwoody, GA 30338-4267

Call (706) 968-7179 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR011404 (GA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1497638084

Bethany Provencial, DC's National Provider Identifier is 1497638084, issued on Jul 30, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dunwoody, GA. The record was last updated on Jul 30, 2025.