Provider Demographics
NPI:1992912232
Name:HARVEY, DANA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:MARIE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 WATERFALL DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8857
Mailing Address - Country:US
Mailing Address - Phone:770-313-2072
Mailing Address - Fax:
Practice Address - Street 1:9950 JONES BRIDGE RD STE 600
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-6576
Practice Address - Country:US
Practice Address - Phone:770-754-0037
Practice Address - Fax:770-754-7828
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007638111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA582522199Medicare ID - Type UnspecifiedCHIROPRACTOR