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Dr. Michael Provost, DC
Chiropractor in Atlanta, Georgia
NPI 1477219921

Michael Provost is a Chiropractor based in Atlanta, GA. Michael Provost practices in Atlanta, GA and has the professional credentials of DC. The NPI Number for Michael Provost is 1477219921 and holds a License No. 1471 (Georgia).

The current practice location address for Michael Provost is 212 Martha Ave Ne, Atlanta, GA and can be reached out via phone at 308-379-4154.

Location: 212 Martha Ave Ne, Atlanta, GA, 30317-1443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477219921
Provider Name
Michael Provost
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
212 Martha Ave Ne, Atlanta, GA, 30317-1443
Phone Number
308-379-4154
Fax Number
Provider Enumeration Date
11/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Martha Ave Ne
City
Atlanta
State
Georgia
Zip
30317-1443
Phone Number
308-379-4154
Fax Number
person
Provider Business Mailing Address Details
Address
212 Martha Ave Ne
City
Atlanta
State
Georgia
Zip
30317-1443
Phone Number
308-379-4154
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1471 (Hawaii)
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.
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