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DR. BETHANY PROVENCIAL DC
NPI 1497638084
Chiropractor in Dunwoody, GA

Active since July 30, 2025
1709 MOUNT VERNON RD STE C, DUNWOODY, GA 30338(706) 968-7179 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bethany Provencial Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BETHANY PROVENCIAL DC (NPI 1497638084) is an individual chiropractor in Dunwoody, Georgia, licensed in Georgia (CHIR011404) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1497638084
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. BETHANY PROVENCIALCredential: DC
Location Address1709 MOUNT VERNON RD STE CDunwoody, GA 30338-4267
Mailing Address1709 Mount Vernon Rd Ste CDunwoody, GA 30338-4267
Phone(706) 968-7179
Sole ProprietorNo
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1497638084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR011404
Definition
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.
1709 MOUNT VERNON RD STE C, Dunwoody, GA 30338
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY BOLIA
Specialist/Technologist (Athletic Trainer)
1709 MOUNT VERNON RD STE C
DUNWOODY, GA 30338
Dekalb County (470) 823-2228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Provencial's NPI number?

The NPI number for Bethany Provencial is 1497638084. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Bethany Provencial located?

Bethany Provencial practices at 1709 Mount Vernon Rd Ste C, Dunwoody, GA 30338. The listed phone number is (706) 968-7179.

What is Bethany Provencial's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Bethany Provencial was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.