BETHANY PROVENCIAL

DUNWOODY, GA
NPI1497638084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIR011404)
Enumeration Date2025-07-30
Last Update Date2025-07-30
Business Address
Dr. BETHANY PROVENCIAL DC
1709 MOUNT VERNON RD STE C
DUNWOODY, GA 30338-4267
Phone number: 706-968-7179
Mailing Address
Dr. BETHANY PROVENCIAL DC
1709 MOUNT VERNON RD STE C
DUNWOODY, GA 30338-4267
Phone number:
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