Healthcare Provider Details

I. General information

NPI: 1952775231
Provider Name (Legal Business Name): THRIVE CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2015
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 COUNTRY PLACE DR
AUGUSTA GA
30906-8738
US

IV. Provider business mailing address

2017 COUNTRY PLACE DR
AUGUSTA GA
30906
US

V. Phone/Fax

Practice location:
  • Phone: 404-645-1544
  • Fax:
Mailing address:
  • Phone: 404-645-1544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CARL PARSEE JR.
Title or Position: OWNER
Credential:
Phone: 404-645-1544