DR. Bethany Provencial, DC

NPI #1497638084 in Dunwoody, Georgia

Provider Information

NPI Number: 1497638084
Entity Type: Individual
Name: DR. Bethany Provencial, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 30, 2025
Last Updated: Jul 30, 2025

Practice Location

Address: 1709 MOUNT VERNON RD STE C
City: Dunwoody
State: Georgia
ZIP Code: 30338-4267
Phone: (706) 968-7179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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